在COVID-19期间维护亚的斯亚贝巴的基本医疗保健服务:一项定性研究
Esete Habtemariam Fenta1, Berhan Tassew1, Admas Abera2
1School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
PloS one
|December 27, 2024
概括
埃塞俄比亚亚的斯亚贝巴的COVID-19大流行扰乱了基本的卫生服务,导致使用率下降和劳动力挑战. 医疗系统通过重新调整设施和扩大处方来适应,以维持护理.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 流行病学 流行病学
背景情况:
- 全球卫生系统因COVID-19流行病而面临前所未有的压力.
- 在COVID-19期间保持埃塞俄比亚的基本卫生服务对于预防不良结果和保持卫生部门的进步至关重要.
- 本研究调查了卫生系统在疫情期间维持亚的斯亚贝巴基本医疗保健服务的策略.
研究的目的:
- 探索埃塞俄比亚卫生系统在COVID-19大流行期间维持基本医疗保健服务的反应.
- 确定亚的斯亚贝巴卫生系统内服务提供方面的挑战和适应.
- 了解COVID-19对基本卫生服务提供和利用的影响.
主要方法:
- 与来自国家和地区卫生机构,分城办事处和前线医疗保健提供者的利益相关者进行了60次关键信息采访.
- 利用有目的的抽样来选择代表卫生系统不同层次的关键信息人.
- 在使用开源代码软件编码的完整采访成绩单上使用专题分析来识别模式和主题.
主要成果:
- COVID-19对基本卫生服务产生了负面影响,导致利用率下降,医疗保健工作者害怕感染,耻辱感,以及对护理质量感知较低.
- 卫生系统的参与者实施了适应性策略,包括重新调整卫生中心的用途,并提供为期数月的药物发行,以维持服务.
- 显著的挑战包括卫生工作人员的倦怠和个人防护设备 (PPE) 的短缺.
结论:
- COVID-19大流行深刻而复杂地影响了基本卫生服务的提供.
- 卫生系统的利益相关者通过实施创新措施来维持服务的弹性,同时管理大流行的需求.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...