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Updated: Jun 16, 2025

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耳鼻喉科护理的全球障碍 耳鼻喉科护理的全球障碍
Rolvix H Patterson1,2, Ali Haider Bangash3, Nader Zalaquett4
1Department of Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Durham, North Carolina.
JAMA otolaryngology-- head & neck surgery
|April 24, 2025
概括
全球耳鼻喉科护理面临重大障碍,特别是在低收入和中等收入国家 (LMICs). 解决这些挑战对于全球平等获得耳鼻喉服务至关重要.
科学领域:
- 全球健康 全球健康
- 外科手术的专业领域.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,获得耳鼻喉科 - 头部手术 (OHNS) 护理的机会是不平等的.
- 在低收入和中等收入国家 (LMICs) 中,差距特别明显.
- 了解这些障碍是改善护理公平的关键.
研究的目的:
- 在世界银行的不同收入群体中,描述全面的职业保障服务护理的障碍.
- 确定医疗保健提供者和患者面临的具体挑战.
主要方法:
- 全球耳鼻喉科医生进行了一项在线横截面调查.
- 数据收集时间为2022年10月至2023年6月.
- 分析了参与者对国家,卫生部门,临床医生和患者层面的障碍的看法.
主要成果:
- 在所有收入群体和卫生系统水平上报告了OHNS护理的障碍.
- 低低收入国家报告了更频繁和更实质性的障碍,包括劳动力分配和临床医生的薪酬.
- 常见的障碍包括劳动力短缺,转诊问题,临床医生的工作量以及与患者相关的因素,如距离和财务负担.
结论:
- 显著的全球障碍阻碍了耳鼻喉科护理的获取.
- 这些挑战影响着医疗保健系统的各个层面.
- 需要有针对性的战略来改善OHNS护理的获取,特别是在LMICs.
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