Surgery in Malawi - a national survey of activity in rural and urban hospitals
Surgery in Malawi - a national survey of activity in rural and urban hospitals
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DOI：
10.1308/003588407x209329
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发表时间：
2007-10-01
影响因子：
1.4
通讯作者：
Chimangeni, Sandy
中科院分区：
文献类型：
--
作者：
Lavy, Chris;Tindall, Alistair;Chimangeni, Sandy
马拉维是一个贫穷的国家，医生很少。它有21家地区医院，所有这些医院都有手术室，但没有一家有固定的外科医生。它还有4家中心医院，每家医院都有一名或多名外科医生。大多数地区医院由一名医生和两名或两名以上的辅助医疗临床人员管理。患者和方法对所有区、中心医院进行访问，并对医院日志进行分析。记录了2003年的所有病例。结果2003年共记录手术48,696例，其中21个区医院25,053例，4个中心医院23,643例。剖腹产是地区医院最常见的主要外科手术，在英国约占2.8%。很少有大型普通外科手术或骨科手术在地区医院进行。结论：本研究强调马拉维需要培训和留住更多的外科医生。
INTRODUCTION Malawi is a poor country with few doctors. It has 21 district hospitals all of which have operating theatres but none of which has a permanent surgeon. It also has 4 central hospitals, each with one or more surgeons. Most district hospitals are manned by a single doctor and two or more paramedical clinical officers.PATIENTS AND METHODS All district and central hospitals were visited, and theatre logbooks analysed. All cases performed in 2003 were recorded.RESULTS In 2003, a total of 48,696 surgical operations were recorded, of which 25,053 were performed in 21 district hospitals and 23,643 in 4 central hospitals. Caesarean section is the commonest major surgical procedures in district hospitals and is performed in approximately 2.8% in the UK. Very few major general surgical or orthopaedic procedures are carried out in district hospitals.CONCLUSIONS This study underlines Malawi's need for more surgeons to be trained and retained.