墨西哥尤卡坦州5岁以下儿童死亡病例中与寻求医疗延误相关的因素。
Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico.
作者信息
Hernández-Prado Bernardo, Rodríguez-Angulo Elsa María, Palmisano Erin B, Ojeda-Rodríguez Ricardo, Ojeda-Baranda Rafael Javier, Andueza-Pecha María Guadalupe, Johnson Louisa M, Chen Alan, Johanns Casey, Marquez Neal, Kamath Aruna M, Camarda Joseph N, Flaxman Abraham D
机构信息
Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States..
Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico..
出版信息
Salud Publica Mex. 2021 Jun 18;63(4):498-508. doi: 10.21149/12216.
OBJECTIVE
We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death.
MATERIALS AND METHODS
Cross-sectional study compris-ing household interviews with 252 caregivers of children under-5 who died in the state of Yucatán, Mexico, during 2015-2016. We evaluated the three main delays: 1) time to identify symptoms and start search for care, 2) transport time to health facility, and 3) wait time at health facility.
RESULTS
Children faced important delays including a mean time to start the search for care of 4.1 days. The mean transport time to the first facility was longer for children enrolled in Seguro Popular and there were longer wait times at public facilities, especially among children who also experienced longer travel time.
CONCLUSIONS
Providing resources to enable caregiv-ers to access health services in a timely manner may reduce delays in seeking care.
目的
我们研究了寻求医疗护理过程中的延误情况，以及这些延误与母亲、儿童或卫生服务特征之间的关联，还有与死亡前报告的症状之间的关联。
材料与方法
横断面研究，对2015 - 2016年期间在墨西哥尤卡坦州死亡的252名5岁以下儿童的照料者进行了家庭访谈。我们评估了三个主要延误：1）识别症状并开始寻求医疗护理的时间，2）前往医疗机构的交通时间，3）在医疗机构的等待时间。
结果
儿童面临着严重的延误，包括开始寻求医疗护理的平均时间为4.1天。参加大众保险（Seguro Popular）的儿童前往首个医疗机构的平均交通时间更长，并且在公共医疗机构的等待时间也更长，尤其是那些出行时间也较长的儿童。
结论
提供资源以使照料者能够及时获得卫生服务，可能会减少寻求医疗护理过程中的延误。
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