在印度部落地区的状细胞病患者中使用初级医疗保健模式:一项多中心研究
Shaily B Surti1, Shubhangi Patel1, Yogita Sharma2
1Department of Community Medicine, Parul Institute of Medical Sciences and Research, Parul University, Vadodara, India.
Journal of the National Medical Association
|May 18, 2025
概括
初级卫生保健是印度状细胞病 (SCD) 患者的关键资源. 加强初级卫生中心 (PHC) 的服务对于管理SCD和确保持续护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 慢性疾病管理越来越多地融入到初级医疗保健中.
- 状细胞病 (SCD) 患者在获得医疗保健方面面临重大障碍.
- 这项研究调查了印度部落地区SCD患者对门诊服务的利用情况.
研究的目的:
- 探索状细胞病 (SCD) 患者对门诊服务的利用情况.
- 确定与SCD患者使用医疗保健服务相关的因素.
- 在服务不足的地区,为改善SCD患者获得医疗保健的战略提供信息.
主要方法:
- 一项涉及263名SCD患者/护理人员和263名对照者的横截面定量研究.
- 通过预先测试的问卷收集关于门诊服务利用率和卫生系统因素的数据.
- 多重物流回归分析以确定服务利用率与独立变量之间的关联.
主要成果:
- 公共卫生保健系统为大约80%的患者提供定期护理.
- 观察到初级卫生中心 (PHC) 的高利用率:86%的SCD患者和65%的对照在过去一年内访问了PHC.
- 与PHC利用率较低相关的因素包括高等教育 (6-10年的学历),较高的家庭收入 (>480美元/年) 和较远的PHC距离 (>15公里).
结论:
- 初级医疗保健是大多数人医疗保健的重要来源,PHC的门诊服务利用率很高.
- 加强SCD查和管理在初级医疗保健层面是必不可少的.
- 确保SCD患者的综合护理需要在初级医疗保健系统中进行强有力的整合.
相关概念视频
01:26Traditional 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
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:11Secondary 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
01:30Specialized Care Centers and Settings-II
687
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...
687