Anaesthesia services in developing countries: defining the problems

Anaesthesia services in developing countries: defining the problems
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DOI:
10.1111/j.1365-2044.2006.04907.x
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发表时间:
2007-01-01
期刊:
影响因子:
10.7
通讯作者:
Wilson, I. H.
Wilson, I. H.
中科院分区:
医学1区
文献类型:
--
作者:
Hodges, S. C.;Mijumbi, C.;Wilson, I. H.

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我们描述了如何使用问卷来确定在乌干达提供麻醉的困难。结果显示,23% 的麻醉师拥有为成人提供安全麻醉的设施,13% 的麻醉师拥有为儿童提供安全麻醉的设施,6% 的麻醉师拥有为剖腹产提供安全麻醉的设施。调查问卷发现了人员、药品、设备和培训方面的短缺,这些短缺此前尚未量化或准确描述。使用的方法为任何希望调查其医院麻醉服务的国家或国家麻醉协会提供了一种简单有效的方法来获取基本数据。解决方案需要改进当地管理、财务和物流,并采取行动确保麻醉在急症部门医疗保健中的重要性得到充分认识。乌干达需要在人员和设备方面进行大量投资,以实现麻醉现代化并提高患者的安全性。
We describe the use of a questionnaire to define the difficulties in providing anaesthesia in Uganda. The results show that 23% of anaesthetists have the facilities to deliver safe anaesthesia to an adult, 13% to deliver safe anaesthesia to a child and 6% to deliver safe anaesthesia for a Caesarean section. The questionnaire identified shortages of personnel, drugs, equipment and training that have not been quantified or accurately described before. The method used provides an easy and effective way to gain essential data for any country or national anaesthesia society wishing to investigate anaesthesia services in its hospitals. Solutions require improvements in local management, finance and logistics, and action to ensure that the importance of anaesthesia within acute sector healthcare is fully recognised. Major investment in terms of personnel and equipment is required to modernise and improve the safety of anaesthesia for patients in Uganda.