在低收入和中等收入国家的神经关键护理组织
Hemanshu Prabhakar1, Abhijit V Lele2, Indu Kapoor3
1Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India. prabhakaraiims@yahoo.co.in.
Neurocritical care
|February 7, 2025
概括
低收入和中等收入国家 (LMICs) 的神经临床护理面临着严重的基础设施和劳动力缺口. 需要进行战略性投资,以提高神经重症监护单位的能力和技术获取,减少全球结果差异.
科学领域:
- 全球健康 全球健康
- 神经科学是一个神经科学.
- 关键护理医学 关键护理医学
背景情况:
- 低收入和中等收入国家 (LMICs) 的神经关键护理服务至关重要,但面临着重大挑战.
- 评估LMIC中神经临床护理的现状对于确定需要改进的领域至关重要.
研究的目的:
- 评估LMIC中神经临床护理的组织,基础设施,劳动力和协议遵守情况.
- 确定在资源有限的环境中增强神经临床护理的关键缺口和机会.
主要方法:
- 在42个低低收入国家中,对408名医疗保健提供者进行了横截面调查.
- 收集的数据包括神经重症监护单位的可用性,劳动力组成,技术访问和协议遵守.
- 分析涉及描述性统计数据和地理区域和经济层面 (LIC,LoMIC,UMIC) 的比较.
主要成果:
- 只有36.8%的医院有专门的神经重症监护病房,区域和经济差异很大.
- 获得便携式CT扫描仪 (9.3%) 和远程ICU服务 (14.9%) 等重症监护技术的机会有限.
- 对中风和TBI的协议遵守率很低,特别是在低收入国家,劳动力短缺是一个主要问题.
结论:
- 在LMICs中,神经关键护理基础设施,劳动力和技术存在关键差距.
- 迫切需要对神经重症病房容量,劳动力发展和负担得起的技术进行战略投资.
- 这些发现为决策者提供了一份路线图,以优先考虑神经临床护理并减少全球结果差异.
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