Gnanaraj J, Jason Lau Ye Xiang, Khiangte Hannah
Alipur, Banskandi Post, Cachar District, Burrows Memorial Christian Hospital, Assam, 788 101 India.
Indian J Surg. 2007 Dec;69(6):243-7. doi: 10.1007/s12262-007-0034-0. Epub 2008 Jan 28.
The major problems that patients in rural areas face are related to accessibility, affordability and availability.
This study aims to evaluate how effectively the Diagnostic Camp Model of the institution meets the surgical needs of rural patients, by examining the logistics, economics and extent of the service provided.
A retrospective study of patients attending the Diagnostic camps run by the staff of BMCH including the follow-up of these patients at the hospital.
The diagnostic camps involve transporting medical personnel and modern diagnostic equipment into the interior villages of various North Eastern states of India. Patients requiring surgical intervention later attend the hospital for surgery with the assistance of a health insurance scheme.
The local C3MDS computer software was used to obtain statistical reports from a diagnostic camp held at Saiha, Mizoram. Previous hospital data and the Government of India census were used to estimate the number of men requiring surgical intervention for Benign Prostatic Hyperplasia (BPH).
About three quarters of surgical patients, who attended the surgical camp were unaware of their diagnosis prior to the camp. There was an overall profit despite the expected losses at the Hospital. These camps are a feasible and profitable venture on their own. About 50% of patients estimated to require surgical intervention for BPH in three districts of Mizoram received the necessary interventions.
This model is an attractive, cost effective, efficient way of meeting the surgical needs of patients from a large geographical area.
农村地区患者面临的主要问题与可及性、可负担性和可得性相关。
本研究旨在通过考察所提供服务的后勤、经济及范围，评估该机构的诊断营模式满足农村患者手术需求的有效性。
对参加由BMCH工作人员运营的诊断营的患者进行回顾性研究，包括在医院对这些患者的随访。
诊断营涉及将医务人员和现代诊断设备运送到印度东北部各邦的内陆村庄。之后需要手术干预的患者在健康保险计划的协助下到医院接受手术。
使用当地的C3MDS计算机软件从在米佐拉姆邦赛哈举办的一次诊断营获取统计报告。以前的医院数据和印度政府人口普查数据用于估计需要接受良性前列腺增生（BPH）手术干预的男性人数。
参加手术营的手术患者中约四分之三在营前不知道自己的诊断。尽管医院预计会有亏损，但总体仍有盈利。这些营地本身是一项可行且盈利的业务。在米佐拉姆邦三个地区估计需要接受BPH手术干预的患者中，约50%接受了必要的干预。
该模式是满足大面积地理区域患者手术需求的一种有吸引力、成本效益高且高效的方式。
