公平获得加纳优质创伤系统:质量研究
Sheba Mary Pognaa Kunfah1, Mustapha Yakubu2, Bernard Ofori-Appiah3
1Department of Public Health, Tamale Teaching Hospital, Tamale, Northern Region, Ghana shebawondoh@gmail.com.
BMJ open
|February 12, 2025
概括
在加纳,获得优质的创伤护理受到许多相互关联的障碍的阻碍,包括经济困难,影响患者在护理的各个阶段. 解决这些问题需要社区一级的健康素养和设施改进.
科学领域:
- 公共卫生 公共卫生
- 创伤护理研究 创伤护理研究
- 卫生系统分析 卫生系统分析
背景情况:
- 获得高质量的创伤护理对于患者受伤后的结果至关重要.
- 加纳在提供及时有效的创伤服务方面面临挑战.
研究的目的:
- 确定和探索阻碍加纳受伤后获得优质创伤护理的障碍.
- 了解导致寻求,到达,接收和留在护理中的延迟的因素.
主要方法:
- 在加纳的农村和城市环境中进行了一项定性研究.
- 与53名受伤患者进行了半结构面试和焦点小组讨论.
- 使用四次延迟框架的专题分析应用于转录的数据.
主要成果:
- 参与者在创伤护理的各个阶段都遇到了多个相互关联的障碍.
- 个人,社区和卫生系统因素显著阻碍了获得优质护理的机会.
- 金融困难被认为是农村和城市环境中的一个突出的障碍.
结论:
- 多种因素导致创伤护理连续延迟,需要全面的策略.
- 提高社区健康素养和改善设施资源至关重要.
- 专注于减少金融障碍和加强转诊系统的政策干预,特别是在农村地区,对于改善创伤护理的准入至关重要.
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