Learning about the changing needs for prosthetics service provision from routinely collected digital centre management data: An exemplar study across three clinics in Cambodia.
Learning about the changing needs for prosthetics service provision from routinely collected digital centre management data: An exemplar study across three clinics in Cambodia.
复制标题
DOI：
10.7189/jogh.12.04083
复制
发表时间：
2022-10-30
影响因子：
7.2
通讯作者：
Channon A
中科院分区：
文献类型：
--
作者：
Dickinson A;Gates L;Metcalf C;Owen C;Kheng S;Harte C;Bunthoeun S;Simpson S;Worsley P;Ostler C;Donovan-Hall M;Channon A
假肢服务的开发和提供依赖于描述人口需求的数据。这些需求因具体情况而异，但大多数现有数据来自高收入国家或小的地理区域，这些数据往往不具有可比性。这项研究分析了在多个时间点定期收集的数字病历数据，以深入了解柬埔寨假肢服务的特点。我们调查了三十年来出生年份、性别、肢体缺失年份和原因以及假体类型的趋势。然后，我们观察了2005年和2019年的数据，这些数据表明积极获得假肢服务的人口发生了变化。假肢服务用户人口统计的时间趋势与柬埔寨社会政治历史上的事件相吻合。2000年以前肢体缺失的主要历史原因是冲突期间和之后的武器创伤。自2000年以来，这被非传染性疾病和交通事故所取代。经胫骨截肢仍然是最普遍的截肢水平，但经股动脉截肢的发生率较高的人从道路事故中肢体损失，和人的肢体损失由于疾病是老年人。这些观察结果很重要，因为与年轻的经胫骨组相比，经股骨组和老年组都经历了特殊的康复挑战。该研究显示了一个国家内多个诊所的标准化，常规收集的数据如何用于评估假肢服务用户人群，并显示随着时间的推移发生了显着变化。这表明有必要跟踪客户的特点，并提供证据，根据人口动态和病人需求的变化调整服务。
Prosthetic service development and delivery rely on data describing population needs. These needs are context-specific, but most existing data come from high-income countries or small geographic areas, which are often not comparable. This study analysed routinely collected digital patient record data at multiple time points to provide insights into characteristics of people accessing Cambodian prosthetic services. We investigated trends in birth year, sex, year and reason for limb absence, and prosthesis type, over three decades. Then, we observed data from 2005 and 2019 indicating how the population actively accessing prosthetics services has changed. Temporal trends in prosthetics service user demographics corresponded with events in Cambodia’s socio-political history. The predominant historical reason for limb absence prior to 2000 was weapon trauma during and following conflict. Since 2000, this was replaced by non-communicable disease and road accidents. Transtibial remained the most prevalent amputation level but transfemoral amputation had higher incidence for people with limb loss from road accidents, and people with limb loss due to disease were older. These observations are important as both transfemoral and older-aged groups experience particular rehabilitation challenges compared to the young, transtibial group. The study shows how standardised, routinely collected data across multiple clinics within a country can be used to characterise prosthetics service user populations and shows significant changes over time. This indicates the need to track client characteristics and provides evidence for adapting services according to population dynamics and changes in patient need.
登录
查看更多内容
影响因子：
2.2
作者：
Magnusson, Lina;Finye, Clifford;Enstedt, Catrin
通讯作者：
Enstedt, Catrin
影响因子：
5.1
作者：
Dobson, Allen;Murray, Kennan;DaVanzo, Joan E.
通讯作者：
DaVanzo, Joan E.
影响因子：
11.1
作者：
Durham, Jo;Hill, Peter S;Hoy, Damian
通讯作者：
Hoy, Damian
DOI：
10.1016/s0140-6736(20)32340-0
发表时间：
2021-12-19
期刊：
Lancet (London, England)
影响因子：
--
作者：
Cieza A;Causey K;Kamenov K;Hanson SW;Chatterji S;Vos T
通讯作者：
Vos T
影响因子：
2.9
作者：
Barth CA;Wladis A;Blake C;Bhandarkar P;Aebischer Perone S;O'Sullivan C
通讯作者：
O'Sullivan C