在厄瓜多尔,2000-2023年5岁以下儿童因出院护理敏感情况而可避免的住院治疗,
Carolina Buñay-Morocho1, Pablo Álvarez1, Daniel Zurita1
1Universidad Internacional del Ecuador, Quito, Ecuador.
Cadernos de saude publica
|December 11, 2025
概括
在5岁以下的儿童中,因 ambulatory care sensitive conditions (ACSCs) 的可避免住院病例总体上增加,呼吸道和皮肤感染的病例显著增加. 预测显示,ACSC仍将占出院人数的很大一部分,突出显示了初级保健需求.
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
- 儿科健康 儿科健康
背景情况:
- 门诊护理敏感条件 (ACSCs) 作为初级医疗保健质量和护理协调有效性的关键指标.
- 了解儿科ACSC住院的趋势对于评估和改善卫生系统绩效至关重要.
研究的目的:
- 从2000年到2023年,分析厄瓜多尔在五岁以下儿童中因ACSC出院的比例和趋势.
- 预测未来的ACSCC住院率到2026年.
- 为了比较不同州的标准化ACSC住院率.
主要方法:
- 对20个已定义的ACSC进行国家医院出院数据 (2000-2023) 的生态时间序列分析.
- 加入点回归用于估计年度百分比变化和Prophet包用于预测.
- 使用人口普查数据 (2001年,2010年,2022年) 计算的标准化发病率 (SMR) 来比较各州的发病率.
主要成果:
- 在2000年至2023年期间,ACSCs占所有儿科医院出院的26.6%.
- 总体而言,ACSC的发病率每年增加2%,呼吸道疾病 (6.8%),尿道感染 (6.4%) 和皮肤感染 (4.2%) 显著增加. 胃肠道疾病每年减少1.9%.
- 预测表明,到2026年,ACSC可能占排放量的20.3%. 超过5%的州持续显示出高于预期的SMR.
结论:
- 上升的ACSC利率,特别是在2000年代初,与经济因素和医疗保健投资水平相关.
- 在COVID-19大流行期间观察到的下降值得进一步调查.
- 加强初级医疗保健服务和公共卫生规划对于减少可避免的儿科住院治疗至关重要.
相关概念视频
Preventive Healthcare Services
1.8K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Pharmacokinetics in Pediatric Patients: Drug Excretion
188
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
188
Pharmacokinetics in Pediatric Patients: Drug Distribution
231
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
231
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K


