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在埃塞俄比亚的亚的斯亚贝巴提供紧急护理的障碍和促进者:混合方法研究
Demelash Ataro Ambushe1,2, Lee A Wallis2, Willem Stassen2
1Department of Emergency Medicine, Hawassa University, Hawassa, Ethiopia.
概括
埃塞俄比亚的紧急护理面临重大障碍,主要是缺乏设备和物资. 解决这些资源和管理问题对于改善紧急服务和减少低收入和中等收入国家的死亡至关重要.
科学领域:
- 紧急医疗
- 公共卫生
- 医疗管理
背景情况:
- 在低收入和中等收入国家中, 疾病和伤害导致超过一半的死亡.
- 这些地区的急救部门面临许多障碍,无法提供基于设施的急救服务.
- 埃塞俄比亚缺乏关于紧急护理障碍及其根本原因的全面数据.
研究的目的:
- 识别和分析埃塞俄比亚医院的医疗机构紧急护理障碍.
- 探讨紧急护理提供障碍的原因.
- 为改善埃塞俄比亚的紧急护理服务提供数据.
主要方法:
- 使用了一种解释性,顺序的混合方法设计.
- 第一阶段涉及使用世卫组织的医院急诊部评估工具 (HEAT) 对五家医院进行横截面评估.
- 第二阶段包括深入的关键信息采访,并使用内容分析分析数据.
主要成果:
- 在数量上发现的最常见障碍是设备的缺失和库存不足 (分别为n=119和n=47).
- 缺乏设备 (n=128) 和物资 (n=99) 也是不提供诊断服务的主要原因.
- 质量调查结果强调资源短缺和资源管理不足是主要障碍,而资源可用性和良好管理实践则是促进因素.
结论:
- 亚的斯亚贝巴的第三级医院可以进行大多数紧急手术,但服务有时会中断.
- 缺乏资源和管理不善等障碍阻碍了全方位的紧急护理.
- 埃塞俄比亚医院的急救部门需要增加对资源的投资和改进管理实践.
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