拉丁美洲 (2015-2019) 由于门诊护理敏感情况而导致可预防的住院治疗:多国描述性分析 (2015-2019)
Pedro Bernal1, María Fernanda García1, Sofía Castro Vargas1
1Health Nutrition and Population Division, Inter-American Development Bank, Washington DC, USA.
Lancet regional health. Americas
|October 24, 2025
概括
门诊护理敏感条件 (ACSCs) 在拉丁美洲导致可预防的住院治疗. 加强初级卫生保健 (PHC) 和减少差距可以减少这些住院治疗并改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 拉丁美洲和加勒比地区 (LAC) 面临着初级医疗保健 (PHC) 获取和质量的挑战.
- 在PHC的差距有助于可预防的住院治疗从门诊护理敏感条件 (ACSCs).
研究的目的:
- 分析八个LAC国家 (2015-2019) 的公共医院中ACSC住院病人的国家和地方变化.
- 评估ACSCs对住院患者利用的贡献.
- 通过改善初级保健来估计ACSC住院的潜在减少.
主要方法:
- 对ACSC出院和停留日数的性别年龄标准化份额的描述性分析.
- 与较低ACSC住院率的亚国家级单位进行基准比较.
- 针对ACSC住院病人的假设减少的场景建模.
主要成果:
- 在不同国家,ACSC平均占出院和住院日数的17.4%.
- 在ACSC住院患者中观察到显著的亚国家级差异.
- 慢性非传染性疾病 (NCD) 和传染性疾病是ACSC住院的主要原因.
结论:
- 高ACSC住院率表明医院资源的使用效率低下.
- 解决地方差异和加强医疗保健是减少可避免的住院治疗和改善健康结果的关键.
- 适应非传染性疾病的PHC策略和监测ACSC对于有针对性的改善LAC的医疗保健系统至关重要.
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