加强拉丁美洲的神经外科护理:一个区域框架的案例
Francisco Rivera1, Annika Stuckrath2, Cyrus Elahi3
1CEMIC University Institute, Ciudad Autonoma de Buenos Aires, Argentina; Neurosurgery Department, Barrow Neurological Institute, Phoenix, AZ, USA.
概括
拉丁美洲迫切需要更多的神经外科医生,因为40%的人生活在远离护理的地方. 区域合作和领导力对于改善神经外科服务和劳动力能力至关重要.
科学领域:
- 神经外科 神经外科
- 公共卫生 公共卫生
- 医疗保健劳动力发展工作人员
背景情况:
- 拉丁美洲面临严重的神经外科劳动力短缺,这影响了获得护理的机会.
- 约有40%的人口居住在距离神经外科设施两小时以上的距离,农村地区受到的影响不成比例.
- 不一致的培训,缺乏标准化的课程和有限的认证加剧了神经外科护理不平等.
研究的目的:
- 分析拉丁美洲的神经外科人力资源的缺口.
- 识别神经外科护理和培训的障碍.
- 通过区域合作提出改善神经外科服务的框架.
主要方法:
- 分析拉丁美洲的神经外科工作人员数据和获得护理指标的数据.
- 审查现有的培训结构和认证机制.
- 检查成功的合作模式,以发展医疗保健工作人员.
主要成果:
- 据估计,拉丁美洲有924名神经外科医生缺口.
- 获得神经外科护理的机会集中在城市中心,这使得大量人口受到服务不足.
- 碎片化数据,政策差距和资源分配不平等阻碍了进步.
结论:
- 改变神经外科领域的发展需要解决劳动力短缺问题,改善医疗服务的准入.
- 像拉丁美洲神经外科协会联合会 (FLANC) 这样的合作倡议为变革提供了基础.
- 一个协调的框架,强调公平和区域内合作,对于可持续的神经外科发展至关重要.
相关概念视频
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
International Nursing Organizations II
1.3K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.3K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.1K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
1.1K
International Nursing Organizations I
2.2K
International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
2.2K
Local Anesthetics: Clinical Application as Spinal Anesthesia
1.3K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
1.3K
Anatomy of the Brain: Major Regions
9.6K
The brain is the most complex organ in the human body. It consists of four main parts: the cerebrum, diencephalon, cerebellum, and brainstem.
The cerebrum is the largest section of the brain and divides into left and right hemispheres, separated by a deep fissure. The cerebral outer layer of grey matter — the cerebral cortex — comprises elevations called gyri and shallow groves called sulci. The inner portion of white matter includes long nerve fibers known as axons, which connect...
The cerebrum is the largest section of the brain and divides into left and right hemispheres, separated by a deep fissure. The cerebral outer layer of grey matter — the cerebral cortex — comprises elevations called gyri and shallow groves called sulci. The inner portion of white matter includes long nerve fibers known as axons, which connect...
9.6K


