The Correlation Between Poverty and Access to Essential Surgical Care in Ghana: A Geospatial Analysis.
The Correlation Between Poverty and Access to Essential Surgical Care in Ghana: A Geospatial Analysis.
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DOI：
10.1007/s00268-016-3765-x
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发表时间：
2017-03
影响因子：
2.6
通讯作者：
Mock C
中科院分区：
文献类型：
--
作者：
Tansley G;Stewart BT;Gyedu A;Boakye G;Lewis D;Hoogerboord M;Mock C
外科疾病负担不成比例地落在低收入和中等收入国家的个人身上。这些人群也是最不可能获得外科护理的人群。因此，了解这些人群的获取障碍对于满足全球外科需求是必要的。利用地理空间方法，这项研究探索了加纳两个准入障碍在地区一级的差异：贫困和获得护理的空间。全国调查数据被用来估计每个地区的平均家庭总支出(THE)。对基本外科护理空间可获得性的估计是基于最近的手术能力评估而建立的成本-距离模型。相关分析采用回归分析，并以地图形式显示。在加纳，手术护理的获取和空间获取在统计上都有显著的区域差异(p<；0.001)。基本外科护理的空间可获得性与空间可获得性之间存在负相关关系(β−5.15U.S.，p<；0.001)。在该国西北部，贫穷和获得外科护理的空间条件差被发现是共存的。在人群中，获得外科护理的多种障碍可能共存。仔细了解所有的获取障碍是必要的，以确定和确定战略目标，以满足特定人群中未得到满足的外科需求。
Surgical disease burden falls disproportionately on individuals in low- and middle-income countries. These populations are also the least likely to have access to surgical care. Understanding the barriers to access in these populations is therefore necessary to meet the global surgical need. Using geospatial methods, this study explores the district-level variation of two access barriers in Ghana: poverty and spatial access to care. National survey data were used to estimate the average total household expenditure (THE) in each district. Estimates of the spatial access to essential surgical care were generated from a cost-distance model based on a recent surgical capacity assessment. Correlations were analyzed using regression and displayed cartographically. Both THE and spatial access to surgical care were found to have statistically significant regional variation in Ghana (p < 0.001). An inverse relationship was identified between THE and spatial access to essential surgical care (β −5.15 USD, p < 0.001). Poverty and poor spatial access to surgical care were found to co-localize in the northwest of the country. Multiple barriers to accessing surgical care can coexist within populations. A careful understanding of all access barriers is necessary to identify and target strategies to address unmet surgical need within a given population.
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全球手术费用的灾难性支出：一项建模研究。
影响因子：
34.3
作者：
Shrime, Mark G.;Dare, Anna J.;Alkire, Blake C.;O'Neill, Kathleen;Meara, John G.
通讯作者：
Meara, John G.
影响因子：
2.7
作者：
MORAN, PAP
通讯作者：
MORAN, PAP
影响因子：
2.6
作者：
Stewart, Barclay T.;Quansah, Robert;Mock, Charles
通讯作者：
Mock, Charles
DOI：
10.1186/1478-7547-8-13
发表时间：
2010-06-11
期刊：
Cost effectiveness and resource allocation : C/E
影响因子：
--
作者：
Kifle, Yibeltal A;Nigatu, Tilahun H
通讯作者：
Nigatu, Tilahun H
影响因子：
16.9
作者：
Stewart, Barclay T.;Tansley, Gavin;Mock, Charles
通讯作者：
Mock, Charles