■而耳朵,鼻子,咽喉(ENT)疾病对全球健康构成重大威胁,对南部非洲耳鼻喉科服务的全面审查仍然很少。
■本范围审查提供了长达十年的南部非洲耳鼻喉科服务概述,并确定了医疗保健提供方面的差距。从目前的文献来看,我们希望提供基于证据的建议,以减轻资源有限的ENT服务所面临的挑战.
■PubMed,WebofScience,EBSCOhost,科克伦图书馆,科克伦图书馆,还有Scopus.
■在几个数据库中,我们对南部非洲耳鼻喉科服务的定量和定性研究进行了全面的文献检索,2014年1月1日至2024年2月27日发布。从分析的研究中提取的数据被总结为主题。
■最终分析中包含的14项研究中的四个主题描述了南部非洲现有的ENT服务:1。劳动力稀缺和知识不足,2.ENT基础设施的缺陷,设备,和药物,3.耳鼻喉科疾病筛查不足,管理,康复和4。缺乏远程医疗技术。
■南部非洲耳鼻喉科卫生服务面临许多疾病筛查,治疗,和康复挑战,包括严重的劳动力短缺,设备,和药物。这些挑战,阻碍患者获得耳鼻喉科医疗保健,可以通过实施深思熟虑的政策来培训更多的劳动力来有效地解决,增加ENT对设备和药物的资助,促进远程健康,并降低患者的护理成本。
主要发现:耳朵,南部非洲的鼻喉(ENT)医疗保健面临劳动力严重短缺,设备,和疾病筛查药物,治疗和康复。增加的知识:在这篇评论中,我们确定了资源有限的南部非洲ENT医疗保健服务中的挑战,并提供了基于证据的建议来缓解这些挑战.全球卫生对政策和行动的影响:在资源有限的世界中改善耳鼻喉科服务的提供需要深思熟虑的政策,以改善卫生工作者的培训,扩大融资和资源可用性,融入新技术,降低患者的护理成本。
While ear, nose, and throat (ENT) diseases are a substantial threat to global health, comprehensive reviews of ENT services in Southern Africa remain scarce.
This scoping review provides a decade-long overview of ENT services in Southern Africa and identifies gaps in healthcare provision. From the current literature, we hope to provide evidence-based recommendations to mitigate the challenges faced by the resource-limited ENT service.
PubMed, Web of Science, EBSCOhost, Cochrane Library, Cochrane Library, and Scopus.
On several databases, we conducted a comprehensive literature search on both quantitative and qualitative studies on ENT services in Southern Africa, published between 1 January 2014 and 27 February 2024. The extracted data from the analyzed studies was summarized into themes.
Four themes in the fourteen studies included in the final analysis described the existing ENT services in Southern Africa: 1. Workforce scarcity and knowledge inadequacies, 2. Deficiencies in ENT infrastructure, equipment, and medication, 3. Inadequate ENT disease screening, management, and rehabilitation and 4. A lack of telehealth technology.
The Southern African ENT health service faces many disease screening, treatment, and rehabilitation challenges, including critical shortages of workforce, equipment, and medication. These challenges, impeding patient access to ENT healthcare, could be effectively addressed by implementing deliberate policies to train a larger workforce, increase ENT funding for equipment and medication, promote telehealth, and reduce the patient cost of care.
Main findings: Ear, nose and throat (ENT) healthcare in Southern Africa faces critical shortages of workforce, equipment, and medication for disease screening, treatment and rehabilitation.Added knowledge: In this review, we identify challenges in the resource-limited Southern African ENT healthcare provision and provide evidence-based recommendations to mitigate these challenges.Global health impact for policy and action: Improving ENT service delivery in the resource-limited world requires deliberate policies that improve health worker training, expand financing and resource availability, incorporate new technology, and lower patient costs of care.