Operative volume and surgical case distribution in Uganda's public sector: a stratified randomized evaluation of nationwide surgical capacity

Operative volume and surgical case distribution in Uganda's public sector: a stratified randomized evaluation of nationwide surgical capacity
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DOI:
10.1186/s12913-019-3920-9
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发表时间:
2019-02-06
影响因子:
2.8
通讯作者:
Shrime, Mark G.
Shrime, Mark G.
中科院分区:
医学3区
文献类型:
--
作者:
Albutt, Katherine;Punchak, Maria;Shrime, Mark G.

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背景乌干达的手术量、病例分布或公共部门提供基本外科服务的能力知之甚少。方法随机选择16家公立医院,服务于乌干达640%的人口,完成了标准化的混合方法手术评估和回顾性手术日志审查。结果共记录了3014例手术,年手术量为36,670例/年,或1445例/10万人/年。区域转诊的绝对手术量大于综合医院(p
BackgroundLittle is known about operative volume, distribution of cases, or capacity of the public sector to deliver essential surgical services in Uganda.MethodsA standardized mixed-methods surgical assessment and retrospective operative logbook review were completed at 16 randomly selected public hospitals serving 640% of Uganda's population.ResultsA total of 3014 operations were recorded, annualizing to a surgical volume of 36,670 cases/year or 1445 operations/100,000people/year. Absolute surgical volume was greater at regional referral than general hospitals (p