THE EPIDEMIOLOGY AND SPECTRUM OF SURGICAL CARE IN DISTRICT HOSPITALS OF PAKISTAN
THE EPIDEMIOLOGY AND SPECTRUM OF SURGICAL CARE IN DISTRICT HOSPITALS OF PAKISTAN
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DOI：
10.2105/ajph.77.11.1439
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发表时间：
1987-11-01
影响因子：
12.7
通讯作者：
SMYTHE, CM
中科院分区：
文献类型：
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作者：
BLANCHARD, RJW;BLANCHARD, MEE;SMYTHE, CM
对巴基斯坦19个区级医院的现场调查显示，1983年共进行了23,839例手术。有 98 种不同类型的操作。 38% 属于普通外科，30% 属于妇产科，19% 属于泌尿科，13% 属于骨科。在三个地区，基于人口的数据是从 12 家医院获得的，这些医院向离散人群提供所有手术护理。每10万人口的总体外科手术率为124例，仅为西方国家的1.5%至9%。每10万人中拥有外科医生的比例为10.36，是美国这一比例的1/80。每个外科医生的手术次数几乎是美国的两倍。这些数据表明巴基斯坦地区医院的外科医生严重短缺。它们还提供了在地区一级执行的不同操作的范围和相对数量。这些信息与其他因素一起在巴基斯坦卡拉奇阿加汗大学设计外科课程时非常有用。
On-site surveys of 19 district-level hospitals in Pakistan revealed that, in 1983, 23,839 procedures were performed. There were 98 different types of operations. Thirty-eight percent were classified as General Surgery, 30 percent Gynecology and Operative Obstetrics, 19 percent Urology, and 13 percent Orthopedics. In three regions, population-based data were obtained from the 12 hospitals which provided all surgical care to discrete populations. The overall rate of surgical operations per 100,000 population was 124, 1.5 percent to 9 percent of the rate in western countries. The ratio of surgeons per 100,000 population was 10.36, 1/80 the ratio in the United States. There were almost twice as many operations per surgeon as in the USA. These data indicate a severe shortage of surgeons in Pakistan''s district hospitals. They also provide the spectrum and relative numbers of different operations performed at the district level. This information has been useful along with other factors in designing a surgical curriculum at the Aga Khan Univeristy in Karachi, Pakistan.