移动超声血管评估(MUVA)用于偏远和冲突地区

IF 3.2 Q2 MANAGEMENT
Oscar Y. Moreno Rocha, P. Pinto, Maria C. Consuegra, S. Cifuentes, J. Ulloa
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引用次数: 0

摘要

目的:本研究旨在根据哥伦比亚一项试点试验的结果,促进生活在偏远和冲突地区的低收入个人获得血管疾病筛查。增加平民血管外科(VS)诊断培训的数量。设计/方法论/方法操作方法包括五个阶段:战略制定和调整;将战略转化为现实环境;营运物流规划;战略分析和采用。该操作方案在本研究的样本中有效地发挥了作用。在现实环境中,它表现出了高灵敏度、高效率和安全性。研究结果:作者开发并实施了一种流动模型操作计划,用于在没有适当获得血管保健的低收入患者中无偿筛查血管病变。来自哥伦比亚农村地区的140名患者被招募到一个控制筛查阶段,在那里他们接受了一系列无创超声评估,由不同培训阶段的vsv卫生专业人员进行。研究局限性/意义该计划旨在在偏远冲突地区实施,这些地区获得vsv护理的机会有限。在武装冲突频繁的地区,血管损伤在平民和军队中极为重要和常见。由于这一战略可以修改和适应不同的医学专业和地理区域,作者建议检查我们将实施这一工具的预定区域的相关立法和法律方面。实践意义不同的子专业可以将所描述的方法转化为重要的医学领域,因为作者可以调整外围地区、冲突地区和其他需要更快反应的公共卫生危机的评估部署和执行。这是必要的,因为VS受训者接触的训练量很低。模拟演习提供了一个新的机会,以提高他们目前的诊断技能,在一个受控的环境中使用超声。社会意义评估和评估获得血管医学和其他专业的机会有限的患者可以减少血管疾病和相关并发症的负担,并增加偏远社区可用的治疗方法的数量。独创性/价值评估最重要的患者数量并根据他们的分诊分类进行治疗是至关重要的。这种管理类似于无法获得适当的VS咨询的偏远地区的评估。作者能够通过快速部署方法确定、分类并重新定向到治疗干预措施,在偏远地区发现阳性结果的患者。由于多重障碍和评估和反应,获得医疗保健是有限的,特别是在需要高技能医疗专业人员团队和相关设备的周边地区。这组作者在哥伦比亚农村地区的偏远和冲突地区测试了一种新的移动评估工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mobile ultrasound vascular assessment (MUVA) for remote and conflict areas
Purpose This study aims to facilitate access to vascular disease screening for low-income individuals living in remote and conflict areas based on the results of a pilot trial in Colombia. Also, to increase the amount of diagnosis training of vascular surgery (VS) in civilians. Design/methodology/approach The operation method includes five stages: strategy development and adjustment; translation of the strategy into a real-world setting; operation logistics planning; strategy analysis and adoption. The operation plan worked efficiently in this study’s sample. It demonstrated high sensibility, efficiency and safety in a real-world setting. Findings The authors developed and implemented a flow model operating plan for screening vascular pathologies in low-income patients pro bono without proper access to vascular health care. A total of 140 patients from rural areas in Colombia were recruited to a controlled screening session where they underwent serial noninvasive ultrasound assessments conducted by health professionals of different training stages in VS. Research limitations/implications The plan was designed to be implemented in remote, conflict areas with limited access to VS care. Vascular injuries are critically important and common among civilians and military forces in regions with active armed conflicts. As this strategy can be modified and adapted to different medical specialties and geographic areas, the authors recommend checking the related legislation and legal aspects of the intended areas where we will implement this tool. Practical implications Different sub-specialties can implement the described method to be translated into significant areas of medicine, as the authors can adjust the deployment and execution for the assessment in peripheral areas, conflict zones and other public health crises that require a faster response. This is necessary, as the amount of training to which VS trainees are exposed is low. A simulated exercise offers a novel opportunity to enhance their current diagnostic skills using ultrasound in a controlled environment. Social implications Evaluating and assessing patients with limited access to vascular medicine and other specialties can decrease the burden of vascular disease and related complications and increase the number of treatments available for remote communities. Originality/value It is essential to assess the most significant number of patients and treat them according to their triage designation. This management is similar to assessment in remote areas without access to a proper VS consult. The authors were able to determine, classify and redirect to therapeutic interventions the patients with positive findings in remote areas with a fast deployment methodology in VS. Plain language summary Access to health care is limited due to multiple barriers and the assessment and response, especially in peripheral areas that require a highly skilled team of medical professionals and related equipment. The authors tested a novel mobile assessment tool for remote and conflict areas in a rural zone of Colombia.
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来源期刊
CiteScore
6.40
自引率
20.00%
发文量
20
期刊介绍: The Journal of Humanitarian Logistics and Supply Chain Management (JHLSCM) is targeted at academics and practitioners in humanitarian public and private sector organizations working on all aspects of humanitarian logistics and supply chain management. The journal promotes the exchange of knowledge, experience and new ideas between researchers and practitioners and encourages a multi-disciplinary and cross-functional approach to the resolution of problems and exploitations of opportunities within humanitarian supply chains. Contributions are encouraged from diverse disciplines (logistics, operations management, process engineering, health care, geography, management science, information technology, ethics, corporate social responsibility, disaster management, development aid, public policy) but need to have a logistics and/or supply chain focus. JHLSCM publishes state of the art research, utilizing both quantitative and qualitative approaches, in the field of humanitarian and development aid logistics and supply chain management.
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