在南非农村地区的区域外科护理的时间
T MacQuene1, R Shanoada2, A De Kerk3
1Centre for Global Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
概括
南非地区医院管理必要的手术,但许多患有一般手术条件的患者面临延误. 远程医疗改善了分拣,但高患者损失后续需要进一步调查.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 手术护理 获得 手术护理 获取
- 手术中的远程医疗.
背景情况:
- 南非地区医院的手术能力有限.
- 区域医院管理最基本的外科条件.
- 了解患者的手术护理途径至关重要.
研究的目的:
- 描述患者的治疗路径和手术治疗的时间.
- 分析区域医院的一般外科病情 (PSC) 的转诊情况.
- 评估远程医疗对手术护理的影响.
主要方法:
- 通过Vula移动应用程序向沃斯特地区医院 (WRH) 进行PSC转介的回顾性审计.
- 从2019年1月到2019年12月收集的数据.
- 结果包括到护理的时间和对随访的损失.
主要成果:
- 接收了617个PSC转诊,76.5%来自地区医院.
- 27.7%通过在线咨询进行管理,40.4%通过门诊,31.9%通过入院进行管理.
- 操作的中位时间:28天 (门诊),10天 (住院);53.4%的门诊患者损失后续.
结论:
- 地区医院是一般手术条件的主要转诊来源.
- 远程医疗促进了分拣,减少了面对面的咨询.
- 随访的门诊患者的高损失需要进一步研究护理获取障碍.
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