[阿根廷的外科领域内科服务活动]
Diego Brosio1, Gabriela Varela1, Silvina Crerar1
1Servicio de Clínica Médica, Hospital General de Agudos Dr. Enrique Tornú, Buenos Aires, Argentina.
Medicina
|December 12, 2024
概括
在阿根廷的医院中,手术区域内内科 (IM) 服务的组织缺乏统一的模式. 共享护理和内部医学咨询往往与其他服务任务相结合,表明隐藏的活动.
科学领域:
- 内部医学 内部医学
- 医疗保健组织 医疗保健组织
- 手术护理 手术护理
背景情况:
- 在阿根廷,一般急性护理医院的外科领域内内科 (IM) 服务的组织并不清楚.
- 了解这种结构对于优化患者护理和资源配置至关重要.
研究的目的:
- 确定阿根廷一般急症护理医院外科领域内科服务所提供的医疗保健活动的组织结构.
- 在这些环境中调查共享护理 (SC) 和内科咨询 (IMC) 的流行和特征.
主要方法:
- 进行了一项横截面,描述性,观察性研究.
- 在阿根廷的一般急症护理医院 (公共和非公共管理) 分发了一项基于网络的调查.
- 该调查重点关注共享护理 (SC) 和内科咨询 (IMC) 的实施和组织.
主要成果:
- 141家医院 (58%是公立医院) 参与了调查. 40%的医院使用内科医生为SC,主要在骨科 (88%) 和整体外科 (72%).
- 内部医学咨询 (IMC) 主要由内科医生 (57%) 或内科医生与住院医生 (40%) 管理.
- IMC活动通常与其他服务任务 (96%) 相结合,采用混合请求方法 (口头-书面62%) 和不同的后续协议.
结论:
- 内科医生在外科领域的作用主要是通过IMC,SC不太常见.
- 为了响应阿根廷IMC的要求和SC的做法,内部主义活动缺乏标准化的组织模式.
- 这些活动往往取代了内科服务的主要职能,导致了统计学上隐藏的贡献.
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