在津巴布韦的老年人中转诊模式:一个横截面研究
Jack L Stanley1,2,3, David Hettle1,2,3, Rudo Ms Chingono1
1The Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.
Global health action
|September 2, 2025
概括
津巴布韦哈拉雷的老年人不比年轻人更常被转诊, 这表明医疗保健系统可能没有为非洲人口老龄化做好准备.
科学领域:
- 公共卫生
- 老年病学
- 医疗服务研究
背景情况:
- 非洲正面临人口老龄化趋势.
- 年龄较大的成年人患有多种疾病和虚弱,增加了医疗保健需求.
- 了解转诊模式对于调整医疗保健系统至关重要.
研究的目的:
- 调查津巴布韦哈拉雷的年龄和性别分层医院转诊模式.
- 与年轻人相比,分析老年人 (≥65岁) 的转诊实践.
- 确定不同年龄组的诊断特异性转诊趋势.
主要方法:
- 在2016年至2021年期间,对195,999名初级卫生诊所的回顾性分析.
- 来自津巴布韦哈拉雷的8家初级卫生诊所的数据.
- 根据诊断分层的65岁以上和65岁以下成年人之间的转诊比例比较.
主要成果:
- 总体上,转诊率为14. 9%,其中年龄≥65岁的患者为5. 4%.
- 在创伤方面,转诊率最高 (47.8%).
- 在各种诊断中,65岁以上的成年人 (18. 5%) 与35至44岁的成年人 (18. 0%) 的比例相同.
结论:
- 哈拉雷的老年人没有比年轻人更频繁的转诊,
- 这种模式在多种疾病类别中存在,包括传染病,肌肉骨和心血管疾病.
- 这些发现表明津巴布韦的医疗保健系统尚未优化以满足老年人口的需求.
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