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通过移动医疗单位弥合印度卡车司机医疗服务提供方面的差距。

Bridging the Gaps in Health Service Delivery for Truck Drivers of India Through Mobile Medical Units.

作者信息

Chanda Subrata, Randhawa Sonali, Bambrah Hardeep Singh, Fernandes Thomson, Dogra Vishal, Hegde Shailendra

机构信息

Clinical Domain, Piramal Swasthya Management and Research Institute, Guwahati, Assam, India.

SATH, Piramal Swasthya Management and Research Institute, Hyderabad, Telangana, India.

出版信息

Indian J Occup Environ Med. 2020 May-Aug;24(2):84-90. doi: 10.4103/ijoem.IJOEM_276_19. Epub 2020 Aug 19.

DOI:10.4103/ijoem.IJOEM_276_19
PMID:33281377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7703829/
Abstract

BACKGROUND

Truck drivers in India suffer from many lifestyle-related health problems. Providing primary health care services to truck drivers is essential to improve their overall health and well-being. This paper reports the findings of a community-based mobile medical unit program providing nonemergency and basic primary care services to truck drivers along the major highways of India. Piramal Swasthya Management and Research Institute launched this community-based mobile medical unit program, in partnership with Shriram Transport Finance Corporation Limited (STFCL).

MATERIALS AND METHODS

The paper describes the program model, its coverage, the sociodemographic profile, and common health morbidities of the truck drivers availing the program services. 2-year routine program data (April 2017 to March 2019) were accessed and analyzed.

RESULTS

A total of 1,167,210 number of unique truck drivers availed the program services during the reference period, of which 61,331 had complete data. The majority of truck drivers were male (99.1%) and just a few women (0.88%) and transgender (0.003%). The mean age was 45.5 years ± 10.91 and nearly half (49%) were in the productive age group (31-45 years). Noncommunicable and other chronic diseases (34.74%), musculoskeletal problems (24.17%), communicable diseases (14.52%), oral cavity-related problems (1.23%), and other minor ailments (17.77%) were the major consultation categories.

CONCLUSION

Truck drivers in India have significant health morbidities. Providing primary health care services to truck drivers through mobile medical units is a step toward achieving universal health coverage.

摘要

背景

印度的卡车司机面临许多与生活方式相关的健康问题。为卡车司机提供初级卫生保健服务对于改善他们的整体健康和福祉至关重要。本文报告了一项基于社区的移动医疗单位项目的研究结果,该项目为印度主要高速公路沿线的卡车司机提供非紧急和基本的初级保健服务。 Piramal Swasthya管理与研究机构与Shriram运输金融有限公司(STFCL)合作推出了这个基于社区的移动医疗单位项目。

材料与方法

本文描述了该项目模式、覆盖范围、使用该项目服务的卡车司机的社会人口统计学特征以及常见健康问题。获取并分析了2年的常规项目数据(2017年4月至2019年3月)。

结果

在参考期间,共有1,167,210名不同的卡车司机使用了该项目服务,其中61,331名有完整数据。大多数卡车司机为男性(99.1%),女性仅占少数(0.88%),跨性别者占比极低(0.003%)。平均年龄为45.5岁±10.91岁,近一半(49%)处于生产年龄组(31 - 45岁)。非传染性和其他慢性病(34.74%)、肌肉骨骼问题(24.17%)、传染病(14.52%)、口腔相关问题(1.23%)以及其他轻微疾病(17.77%)是主要的咨询类别。

结论

印度的卡车司机存在严重的健康问题。通过移动医疗单位为卡车司机提供初级卫生保健服务是朝着实现全民健康覆盖迈出的一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/7ab62d82f5c1/IJOEM-24-84-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/b45e3d0405e0/IJOEM-24-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/d3f9baa5829b/IJOEM-24-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/039d0b069444/IJOEM-24-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/9944ae3d6942/IJOEM-24-84-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/7ab62d82f5c1/IJOEM-24-84-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/b45e3d0405e0/IJOEM-24-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/d3f9baa5829b/IJOEM-24-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/039d0b069444/IJOEM-24-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/9944ae3d6942/IJOEM-24-84-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45f/7703829/7ab62d82f5c1/IJOEM-24-84-g005.jpg

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