Nyaya Health, Bayalpata Hospital, Ridikot VDC, Achham, Nepal.
Global Health. 2010 Oct 14;6:18. doi: 10.1186/1744-8603-6-18.
While primary care, obstetrical, and surgical services have started to expand in the world's poorest regions, there is only sparse literature on the essential support systems that are required to make these operations function. Diagnostic imaging is critical to effective rural healthcare delivery, yet it has been severely neglected by the academic, public, and private sectors. Currently, a large portion of the world's population lacks access to any form of diagnostic imaging. In this paper we argue that two primary imaging modalities--diagnostic ultrasound and X-Ray--are ideal for rural healthcare services and should be scaled-up in a rapid and standardized manner. Such machines, if designed for resource-poor settings, should a) be robust in harsh environmental conditions, b) function reliably in environments with unstable electricity, c) minimize radiation dangers to staff and patients, d) be operable by non-specialist providers, and e) produce high-quality images required for accurate diagnosis. Few manufacturers are producing ultrasound and X-Ray machines that meet the specifications needed for rural healthcare delivery in resource-poor regions. A coordinated effort is required to create demand sufficient for manufacturers to produce the desired machines and to ensure that the programs operating them are safe, effective, and financially feasible.
虽然初级保健、产科和外科服务已开始在世界上最贫困的地区扩展，但对于使这些业务运作所需的基本支持系统，相关文献却寥寥无几。诊断成像对于有效的农村医疗保健服务至关重要，但它却受到学术界、公共部门和私营部门的严重忽视。目前，世界上很大一部分人无法获得任何形式的诊断成像。在本文中，我们认为两种主要的成像方式——诊断超声和 X 射线——非常适合农村医疗保健服务，应该以快速和标准化的方式进行扩展。如果这些机器是为资源匮乏的环境设计的，那么它们应该能够：a）在恶劣的环境条件下保持坚固耐用；b）在电力不稳定的环境中可靠运行；c）将辐射对员工和患者的危险降到最低；d）可以由非专业人员操作；e）生成高质量的图像，以确保准确诊断。很少有制造商生产符合资源匮乏地区农村医疗服务需求的超声和 X 射线机。需要协调一致的努力来创造足够的需求，以使制造商能够生产所需的机器，并确保运营这些机器的计划是安全、有效且在财务上可行的。
