沟通道在增加乌干达东部农村地区外科服务利用方面的有效性比较
Haritha Reddy1, Saran Kunaprayoon1, Job Nanyiri2
1Icahn School of Medicine at Mount Sinai, New York, New York, USA.
World journal of surgery
|September 24, 2025
概括
积极的沟通策略显著改善了乌干达农村地区获得外科护理的机会. 社区动员是最有效的,但成本高昂,强调需要通过沟通道有效地发展卫生系统.
科学领域:
- 全球健康 全球健康
- 手术护理 进入 手术护理 访问
- 卫生传播策略 卫生传播策略
背景情况:
- 手术条件占全球疾病负担的重要组成部分,特别是在低收入和中等收入国家 (LMICs).
- 尽管正在进行的医疗保健计划,但在LMICs中接受手术护理的机会受到各种因素的限制.
- 沟通和推广方法在改善LMICs手术护理获取方面的作用仍未得到充分研究.
研究的目的:
- 评估不同沟通策略在改善患者获得外科护理方面的有效性.
- 分析主动与被动沟通道对患者招募外科咨询的影响.
- 评估乌干达农村环境中各种通信方法的成本效益.
主要方法:
- 采用了回顾性描述性案例研究设计.
- 数据来自乌干达农村Kyabirwa外科中心 (KSC) 的患者记录 (1/20217/2023).
- 使用RStudio进行了对人口统计,通讯道和成本数据的统计分析.
主要成果:
- 在3515名患者中,有842名 (24.01%) 通过KSC启动的"积极道"接触.
- 社区动员 (65.3%) 和广播谈话节目 (30.1%) 是主要的活跃道.
- 积极道成功招募了手术可纠正疾病的患者,比被动道 (p=0.01),社区动员是最有效的,但也是最昂贵的招募方法.
结论:
- 积极的社区外展和患者参与对于招募有手术可治疗疾病的个人至关重要.
- 社区动员是一种有效的招聘策略,但其高成本需要进一步研究具有成本效益的沟通道.
- 通过沟通策略优化卫生系统发展对于提高在资源有限的环境中手术护理的可访问性至关重要.
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