探索在津巴布韦使用3个延迟模型获得护理的机会.
Katerina J Green1, Naboth N Matinhira2, Amiti Jain3
1Department of Otolaryngology-Head and Neck Surgery Mayo Clinic Florida Jacksonville Florida USA.
Laryngoscope investigative otolaryngology
|February 17, 2025
概括
津巴布韦的患者面临着耳鼻喉科护理的重大延迟,原因是决定寻求护理,到达设施和接受适当治疗的问题. 系统性问题,如漫长的等待时间和不良的基础设施,有助于这些障碍.
科学领域:
- 耳鼻喉科-头部和部外科手术
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 获得专门的外科护理,包括耳鼻喉科-头手术,对于患者的治疗结果至关重要.
- 识别护理障碍对于改善资源有限的环境中的医疗保健服务至关重要.
研究的目的:
- 鉴定津巴布韦哈拉雷耳鼻喉科头手术患者在护理方面的各种障碍.
- 使用3延迟模型对这些障碍进行分类.
主要方法:
- 在哈拉雷的四个耳鼻喉科诊所对46名成人和儿童患者进行了采访.
- 一个标准化的六个问题调查,通过口译员进行管理,评估了寻求护理,到达设施和接受适当护理的延迟.
主要成果:
- 从问题出现到治疗的平均延迟时间为16.3个月.
- 最常见的延迟是3型 (67%),患者无法在适当的设施及时接受治疗.
- 1型延迟 (35%) 与恐惧,传统治疗偏好或对可治疗疾病的不知情有关. 第二类延误 (37%) 与旅行距离,时间和财务状况有关.
结论:
- 津巴布韦的耳鼻喉科患者在获得护理时遇到许多延误.
- 系统性问题,如手术积压,复杂的转诊途径和不充分的运输基础设施,严重阻碍了患者的访问.
- 3延迟模型有效地识别障碍,为提高获得安全和负担得起的外科护理的策略提供信息.
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