获得医疗保健:等待时间,直到手术程序
Cassiane de Santana Lemos1, Ana Maria Muller Magalhães2, Danielle Saraiva Tuma Dos Reis3
1Sao Paulo State University- Julio de Mesquita Filho-UNESP, Botucatu, Sao Paulo, Brazil.
Annals of medicine
|January 20, 2025
概括
巴西的手术接入因地区而异,而长时间的等待时间显著影响到老年人和患有先前疾病的人. 解决这些延迟对于改善患者的生活质量和医疗保健公平至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 生活质量评估生活质量评估
背景情况:
- 获得手术护理是人口健康的关键决定因素.
- 了解手术服务的障碍对于政策制定和干预至关重要.
- 在获得医疗保健方面的区域差异可能导致严重的不平等.
研究的目的:
- 为了评估巴西成年患者的外科等待时间.
- 确定阻碍选择性外科手术的因素.
- 分析手术等待时间对患者生活质量的影响.
主要方法:
- 从2020年10月到2022年10月,在巴西三个地区 (东南,北,南) 进行了一项横截面研究.
- 从250名成年患者中收集了社会人口统计数据和生活质量数据 (WHOQOL-Bref).
- 数据包括手术前和手术后的生活质量评估.
主要成果:
- 在南方地区,手术平均等待时间最长为26.23个月.
- 访问和等待时间存在显著的区域差异 (p < 0.001).
- 手术后生活质量有所改善,特别是老年人和患有并发症的人的身体领域.
结论:
- 巴西的外科手术医疗保健提供情况呈区域差异,并未达到国家卫生系统标准.
- 长期的外科等待期不成比例地影响老年患者和伴随疾病的个体的生活质量.
- 需要采取干预措施来缓解区域差异,减少外科手术等待时间.
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