A Tool and Index to Assess Surgical Capacity in Low Income Countries: An Initial Implementation in Sierra Leone
A Tool and Index to Assess Surgical Capacity in Low Income Countries: An Initial Implementation in Sierra Leone
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DOI：
10.1007/s00268-012-1591-3
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发表时间：
2012-08-01
影响因子：
2.6
通讯作者：
Kushner, Adam L.
中科院分区：
文献类型：
--
作者：
Groen, Reinou S.;Kamara, Thaim B.;Kushner, Adam L.
在许多低收入和中等收入国家，改善外科护理的第一步是记录需求。为了便于收集和分析手术能力数据，并衡量随着时间的推移而发生的变化，海外外科医生（SOS）开发了一种基于人员、基础设施、程序、设备和供应的工具和指数（PIPES）。在2008年使用PIPES工具进行初步调查后的42个月内，对塞拉利昂10家政府医院进行了后续评估。计算了基于手术室、人员、基础设施、程序、设备和供应品数量的指数。此外，还使用2008年的数据计算了一个指数进行比较。大多数医院的指数都有所上升，这与实地访问证实条件有所改善有关。塞拉利昂的康诺特医院得分最高（9.2），这与其是卫生和环境卫生部设备和人员最好的设施相一致。马克尼区医院的增幅最大，从3.8增至7.5，与新建的设施一致，PIPES工具在塞拉利昂的医院很容易管理，而且发现一个指数很有用。2008年至2011年期间，塞拉利昂的外科手术能力有所提高，PIPES指数总体上升就证明了这一点。
A first step toward improving surgical care in many low and middle income countries is to document the need. To facilitate the collection and analysis of surgical capacity data and measure changes over time, Surgeons OverSeas (SOS) developed a tool and index based on personnel, infrastructure, procedures, equipment, and supplies (PIPES).A follow-up assessment of 10 government hospitals in Sierra Leone was completed 42 months after an initial survey in 2008 using the PIPES tool. An index based on number of operating rooms, personnel, infrastructure, procedures, equipment, and supplies was calculated. An index was also calculated, using the 2008 data for comparison.Most hospitals demonstrated an increased index that correlated with site visits that verified improved conditions. Connaught Hospital in Sierra Leone had the highest score (9.2), consistent with its being the best equipped and staffed Ministry of Health and Sanitation facility. Makeni District Hospital had the greatest increase, from 3.8 to 7.5, consistent with a newly constructed facility.The PIPES tool was easily administered at hospitals in Sierra Leone and an index was found useful. Surgical capacity in Sierra Leone improved between 2008 and 2011, as demonstrated by an increase in the overall PIPES indices.