坦桑尼亚北部的紧急护理知识,利用和障碍:基于社区的调查调查
Frida Shayo1,2,3, Gregory Goodluck Zaccheus2,4, Francis Sakita1,2,5
1Kilimanjaro Christian Medical Center, Moshi, Tanzania.
PLOS global public health
|January 6, 2025
概括
坦桑尼亚北部的社区成员对紧急情况的理解不佳,导致护理延迟. 成本和缺乏保险等障碍阻碍了进入紧急服务的机会.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 卫生系统研究 卫生系统研究
背景情况:
- 紧急护理系统对于时间敏感的情况至关重要,撒哈拉以南非洲优先考虑其发展.
- 非专业人士对紧急症状的认识和寻求护理的行为对于及时获取和治疗至关重要.
- 这项研究涉及社区对坦桑尼亚北部紧急情况和进入障碍的知识.
研究的目的:
- 评估社区对坦桑尼亚北部紧急情况的了解.
- 在社区内识别进入紧急护理服务的障碍.
- 为改善该地区紧急医疗服务的战略提供信息.
主要方法:
- 在坦桑尼亚基利曼扎罗的三个地区进行的跨界家庭研究 (2021年6月至9月).
- 评估了对假设紧急情况的反应,家庭紧急情况的发生率和护理准入延迟.
- 用描述性统计,费舍尔的精确测试和威尔科克森的等级和总和测试来分析数据.
主要成果:
- 76 (14.1%) 的家庭在过去一年报告了紧急情况; 225 (41.7%) 的受访者对紧急情况做出了不适当的反应.
- 延迟获得医疗保健与现金支付和缺乏国家医疗保险有关.
- 不适当的应急响应与农村居住,缺乏保险和较低的平均家庭收入相关.
结论:
- 坦桑尼亚北部社区对紧急情况的理解存在重大差距,导致护理机会延迟.
- 紧急护理的障碍包括设施距离,成本和不充分的保险覆盖.
- 建议扩大保险覆盖范围和发展紧急医疗服务,以提高医疗护理的准入.
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