Caroli Christian, Hoffmann Diego, García Alejandro, Costa Gastón, Giorgi Mariano, Salzberg Simón
Presidencia de La Nación Argentina. Unidad Médica Presidencial Argentina. .
Presidencia de La Nación Argentina. Unidad Médica Presidencial Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2020 Mar 12;77(1):10-14. doi: 10.31053/1853.0605.v77.n1.26779.
Presidential medical units are intended to protect the dignitary's health in multiple aspects and work in close relationship with security. There are three central areas of coverage: myocardial infarction, stroke and trauma. By 2016 we had not found information about the resources on medical centers in Argentina and their integration into healthcare networks.
Describe the relevant medical centers and their available resources for the medical coverage areas mentioned.
It is a descriptive, cross-sectional study between 12/2016 and 8/2019. The sampling was not probabilistic and for convenience. Variables were reported as proportions and comparisons were made using the chi-square test or Fischer.
232 centers were entered, 66.8% in capital cities and 67% in the public sector. Capitals were associated with a greater presence of resources: category 3 centers (OR 7.85; 95% CI 3.66-16.84; p <0.000001), angiography (OR 5.94; 95% CI 3.24-10.28; p <0.000001 ), tomography (OR 3.41; 95% CI 1.51-7.69; p=0.002), thrombolytics (OR 3.24; 95% CI 1.37-7.76; p=0.005); except trauma surgery (OR 1.83; 95% CI 0.75-4.46; p=0.17). Private centers were associated with greater resources for reperfusion; and public centers for trauma treatment.
There is an unbalanced distribution of key resources between capital and non-capital cities in large geographical areas that makes it impossible to develop an adequate network for the treatment of heart attack, stroke and trauma. The best quality of care requires combining public and private networks.
总统医疗单位旨在从多个方面保护政要的健康，并与安保部门密切合作。其覆盖的三个核心领域为：心肌梗死、中风和创伤。截至2016年，我们尚未找到有关阿根廷医疗中心资源及其融入医疗保健网络的信息。
描述相关医疗中心及其针对上述医疗覆盖领域的可用资源。
这是一项在2016年12月至2019年8月期间进行的描述性横断面研究。抽样并非概率抽样，而是为了方便起见。变量以比例形式报告，并使用卡方检验或费舍尔检验进行比较。
共纳入232个中心，其中66.8%位于首都城市，67%属于公共部门。首都城市的资源更为丰富：3类中心（优势比7.85；95%置信区间3.66 - 16.84；p <0.000001）、血管造影（优势比5.94；95%置信区间3.24 - 10.28；p <0.000001）、断层扫描（优势比3.41；95%置信区间1.51 - 7.69；p = 0.002）、溶栓药物（优势比3.24；95%置信区间1.37 - 7.76；p = 0.005）；创伤外科除外（优势比1.83；95%置信区间0.75 - 4.46；p = 0.17）。私立中心在再灌注资源方面更为丰富；而公立中心在创伤治疗方面资源更多。
在大面积地理区域内，首都和非首都城市之间关键资源分布不均衡，这使得无法建立一个足够的网络来治疗心脏病发作、中风和创伤。最佳的医疗质量需要将公共和私立网络结合起来。
