Mehtsun Winta T, Weatherspoon Kimberly, McElrath LaPortia, Chima Adaora, Torsu Victus E K, Obeng Ernestina N B, Papandria Dominic J, Mehes Mira M, Ortega Gezzer, Hesse Afua A J, Sory Elias, Perry Henry, Sampson John, Anderson Jean, Abdullah Fizan
The Johns Hopkins Bloomberg School of Public Health, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Arch Surg. 2012 Jun;147(6):542-8. doi: 10.1001/archsurg.2012.449.
Surgical and obstetrics-gynecology (Ob-Gyn) workload of medical officers (MOs) is substantial and may inform policies for training investment and surveillance to strengthen surgical care at district hospitals in Ghana.
Observational study.
Academic research.
Using standardized criteria, 12 trained on-site observers assessed the surgical and Ob-Gyn workload of MOs at 10 district hospitals in each of 10 administrative regions in Ghana, West Africa. The number of patients seen by MOs and the time spent managing each patient were recorded. According to each patient's diagnosis, the encounters were categorized as medical/nonsurgical, Ob-Gyn, or surgical.
The proportions of patients having Ob-Gyn and surgical conditions and the time expended providing care to Ob-Gyn and surgical patients.
Of the observed patient encounters, 1600 (64.5%) were classified as medical or nonsurgical, 514 (20.7%) as Ob-Gyn, and 368 (14.8%) as surgical (9.0% nontrauma and 5.8% trauma). The most common diagnosis among Ob-Gyn patients was obstetric complication requiring cesarean section. The most common diagnosis among surgical patients was inguinal hernia. Medical officers devoted 24.8% of their time to managing Ob-Gyn patients and 18.9% to managing surgical patients (which included 5.4% for the management of traumatic injuries).
Surgical and Ob-Gyn patients represent a substantial proportion of the workload among MOs at district hospitals in Ghana. Strategies to increase surgical capacity at these facilities must include equipping MOs with the appropriate training and resources to address the significant surgical and Ob-Gyn workload they face.
医务人员（MOs）的外科及妇产科工作量很大，这可为加纳地区医院加强外科护理的培训投资和监测政策提供参考。
观察性研究。
学术研究。
12名经过培训的现场观察员依据标准化标准，对西非加纳10个行政区中每个行政区的10家地区医院的医务人员的外科及妇产科工作量进行了评估。记录了医务人员诊治的患者数量以及管理每位患者所花费的时间。根据每位患者的诊断结果，将诊疗情况分为内科/非外科、妇产科或外科。
患有妇产科和外科疾病的患者比例以及为妇产科和外科患者提供护理所花费的时间。
在观察到的患者诊疗情况中，1600例（64.5%）被归类为内科或非外科，514例（20.7%）为妇产科，368例（14.8%）为外科（非创伤性9.0%，创伤性5.8%）。妇产科患者中最常见的诊断是需要剖宫产的产科并发症。外科患者中最常见的诊断是腹股沟疝。医务人员将24.8%的时间用于管理妇产科患者，18.9%的时间用于管理外科患者（其中5.4%用于管理创伤性损伤）。
在加纳地区医院，外科和妇产科患者占医务人员工作量的很大比例。提高这些机构外科手术能力的策略必须包括为医务人员提供适当的培训和资源，以应对他们所面临的大量外科和妇产科工作量。
