关键词: Zimbabwe bidirectional global health global surgery head and neck surgery low middle‐income country needs assessment otolaryngology short‐term surgical trips sustainability

来  源:   DOI:10.1002/lio2.1278   PDF(Pubmed)

Abstract:
UNASSIGNED: To describe findings from an otolaryngology-specific needs assessment tool in Zimbabwe.
UNASSIGNED: Surveys were developed and shared with Low-Middle Income Country (LMIC) hosting institutions in Zimbabwe and to High-Income Country surgical trip participants (HIC). Respondents were otolaryngologists identified online and through professional networks who had participated in a surgical trip.
UNASSIGNED: The most common procedures Zimbabwe otolaryngologists reported treating were adenotonsillectomy (85.7%), chronic rhinosinusitis (71.4%), chronic otitis (57.1%), and head and neck tumor intervention (57.1%). The most common untreatable conditions that host physicians wanted to treat were skull base surgery (71.4%), flap reconstructions (57.1%), and laryngotracheal reconstruction (57.1%). The largest discrepancy between host desires and visiting team offerings were flap reconstruction (57.1%), nasal bone deformities (37.1%), and laryngotracheal reconstruction (17.1%). Perceptions of short-term surgical trips (STST) were recorded for host and visiting teams, and important differences between the public and private sectors of care in Zimbabwe were also identified.
UNASSIGNED: The surveys utilized in this study served as a bidirectional needs assessment of the requirements and care goals of host institutions and visiting teams in Zimbabwe. Differences between public and private sectors of care, particularly regarding infrastructure, resources, and surgical goals, were revealed, and the results can be utilized as part of efforts to maximize efforts within global surgical partnerships.
UNASSIGNED: VI.
摘要:
描述津巴布韦耳鼻喉科特定需求评估工具的发现。
调查是与津巴布韦的中低收入国家(LMIC)托管机构和高收入国家手术旅行参与者(HIC)进行和共享的。受访者是在线和通过参加手术旅行的专业网络确定的耳鼻喉科医师。
据报道,津巴布韦耳鼻喉科医生最常见的治疗方法是腺样体扁桃体切除术(85.7%),慢性鼻-鼻窦炎(71.4%),慢性中耳炎(57.1%),头颈部肿瘤介入治疗(57.1%)。主治医生想要治疗的最常见的无法治疗的疾病是颅底手术(71.4%),皮瓣重建(57.1%),喉气管重建(57.1%)。主持人愿望和客队提供的最大差异是襟翼重建(57.1%),鼻骨畸形(37.1%),喉气管重建(17.1%)。记录了东道国和来访团队对短期手术旅行(STST)的看法,还确定了津巴布韦公共和私营部门之间的重要区别。
本研究中使用的调查是对津巴布韦主办机构和访问团队的需求和护理目标的双向需求评估。公共和私人护理部门之间的差异,特别是在基础设施方面,资源,和手术目标,被揭露,结果可以用作全球外科伙伴关系中最大限度努力的一部分。
VI.
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