在一般外科门诊护理等待时间方面,农村和城市的差异很大
1Department of Surgery, Taranaki Base Hospital, New Plymouth, New Zealand.
概括
新西兰塔拉纳基的农村患者与城市患者相比,经历了明显更长的外科等待时间. 这种差异在R1农村类别以及毛利和早期定居者群体中最大,突出了针对性干预的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术获得权益股权
- 农村健康差异 农村健康差异
背景情况:
- 卫生部的目标是减少健康方面的不平等,特别是在获得医疗保健方面存在的地理和种族差异.
- 这项研究调查了农村对新西兰塔拉纳基外科护理提供的影响,以告知干预措施.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 确定新西兰塔拉纳基的农村环境是否会影响一般外科护理的提供.
- 根据地理位置和种族来量化外科预约等待时间的差异.
- 支持开发干预措施,以尽量减少手术护理获取方面的不平等.
主要方法:
- 在新西兰塔拉纳基,对2878个普通外科推进行了24个月的回顾性分析.
- 农村地区使用2018年地理区域统计标准 (SSGA18) 和卫生地理分类 (GCH) 来进行分类.
- 分析了等待时间 (转诊到首次专家预约),使用2尾学生t测试,检查农村和种族的影响.
主要成果:
- 农村患者的平均等待时间 (90天) 与城市患者的平均等待时间 (81.5天) 相比较长.
- 在R1农村分类显示显著更长的等待时间 (95.3天) 与城市 (81.5天,P=0.0017).
- 与城市欧洲Pakeha (白色新西兰人,P=0.035) 相比,农村毛利人和定居者患者面临的等待时间最长 (101.2天). 使用SSGA18分类观察到类似的趋势.
结论:
- 农村患者,特别是R1类患者和毛利人和早期定居者,面临着更长的等待时间进行手术治疗.
- 这些发现强调了塔拉纳基基于地理和种族的外科护理获得的明显不平等.
- 建议采取诸如农村专科诊所,改善医院运输和虚拟分拣等干预措施来解决这些差异.
相关概念视频
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Specialized Care Centers and Settings-II
682
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
682
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
33
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
33
Tertiary Healthcare System
1.7K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.7K
Hospitals-II
717
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
717
Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K


