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印度尼西亚紧急产科手术的地理空间访问:访问的旅行时间太长了吗?

Brahmana Askandar Tjokroprawiro^1,2, Hanif Ardiansyah Sulistya^1,3, Farizal Rizky Muharram^3,4

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Annals of global health

|January 6, 2025

概括

大多数印度尼西亚生育年龄的妇女 (WRA) 可以在2小时内获得紧急产科手术护理. 然而,八个省份在地理上存在差异,突出需要改善医疗保健基础设施的地区.

科学领域:

全球健康全球健康
进行手术的机会.
健康公平卫生公平

背景情况:

及时获得安全和负担得起的手术对全民健康覆盖至关重要,正如"柳叶刀"全球手术委员会 (LCoGS) 建议的那样.
评估紧急产科和妇科服务的地理可用性对于识别医疗保健差异至关重要.

研究的目的:

量化印尼生育年龄妇女 (WRA) 的比例,这些妇女可以在2小时的旅行时间内进入提供紧急产科和妇科服务的医院.
确定印度尼西亚的特定人口和地区,这些关键的医疗保健服务无法获得.

主要方法:

利用印度尼西亚妇产科医生协会 (ISOG) 和卫生部的数据库,确定在38个省份提供紧急产科护理的医院.
使用ArcGIS Pro进行了地理空间分析,结合了来自高分辨率定居层地图的旅行时间 (2小时的车程) 和人口数据,以评估服务区覆盖范围.

主要成果:

在3,202家医院中,89.2%有妇产科医生 (OBGYN);在5,305名妇产科医生中,91.6%的妇产科医生正在积极实践.
94.5%的WRA人口生活在距离提供这些服务的设施2小时之内.
发现了显著的地理差异,八个省份的基本产科外科护理的及时获取率很低.

结论:

虽然印度尼西亚在全民医疗覆盖方面取得了很大的进步,但在获得紧急产科手术护理方面仍然存在严重的区域不平等.
地理空间绘图与调查数据相结合,是评估外科系统能力和确定及时获得外科护理的差距的有效工具.

关键词:

紧急产科外科护理紧急产科外科护理地理空间分析是什么?全球手术全球手术全球手术印度尼西亚印度尼西亚印度尼西亚

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