发展中国家的专业人员短缺：理解医疗延误问题。
Specialist shortage in developing countries: comprehending delays in care.
机构信息
General Surgery, Fatima Jinnah Medical University, Lahore, Pakistan
General Surgery, Fatima Jinnah Medical University, Lahore, Pakistan.
出版信息
BMJ Case Rep. 2021 Jan 11;14(1):e235542. doi: 10.1136/bcr-2020-235542.
Abstract
We describe a case of a middle-aged woman who presented with progressive jaundice and was suspected to have rebound choledocholithiasis, which was initially managed with balloon extraction through endoscopic retrograde cholangiopancreatography at her first presentation. Healthcare in Pakistan, like many other developing countries, is divided into public and private sectors. The public sector is not always completely free of cost. Patients seeking specialised care in the public sector may find lengthy waiting times for an urgent procedure due to a struggling system and a lack of specialists and technical expertise. Families of many patients find themselves facing 'catastrophic healthcare expenditure', an economic global health quandary much ignored.
摘要
我们描述了一例中年女性患者，其表现为进行性黄疸，并被怀疑患有复发性胆总管结石，最初在首次就诊时通过内镜逆行胰胆管造影进行了球囊提取治疗。巴基斯坦的医疗保健体系与许多其他发展中国家一样，分为公共和私营部门。公共部门并不总是完全免费的。在公共部门寻求专业治疗的患者可能会由于系统薄弱和缺乏专家和技术专长而面临紧急手术漫长的等待时间。许多患者的家庭发现自己面临“灾难性医疗支出”，这是一个被严重忽视的全球经济健康难题。
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