Institute of Public Health, 14903Charité - Universitätsmedizin Berlin, Berlin, Germany.
Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany.
Inquiry. 2021 Jan-Dec;58:469580211059740. doi: 10.1177/00469580211059740.
This study intends to outline the capacity of anesthesia health system in public hospitals of Punjab, Pakistan. A cross-sectional survey among public hospitals of Punjab was carried out that provide emergency and elective surgical care. We measured capacity in terms of infrastructure; surgical, anesthetic, and obstetric (SAO) workforce; surgical interventions; information management; equipment; and medication which was accomplished between October 2020 and February 2021. Out of 106 public hospitals in Punjab, almost 40% had only one anesthesia provider. Only 50% of the hospitals reported round the clock availability of anesthesia providers for surgical cases. While caesarean sections were carried out in more than 90% of health facilities, general surgery, pediatric surgery, and open fracture surgery were conducted only in 50% of the hospitals. Although local and general anesthetic agents were available in the majority of hospitals, essential medicines for safe anesthesia were not available in all hospitals. This first comprehensive assessment of anesthesia health system capacity exposed a crucial deficiency of critical supplies and workforce for providing safe anesthesia and, hence, safe surgery. The surveyed facilities had an uneven division of resources.
本研究旨在概述巴基斯坦旁遮普省公立医院的麻醉卫生系统的能力。在旁遮普省提供急诊和择期手术护理的公立医院中进行了横断面调查。我们以基础设施；外科、麻醉和产科（SAO）劳动力；外科干预；信息管理；设备；以及在 2020 年 10 月至 2021 年 2 月之间完成的药物来衡量能力。在旁遮普省的 106 家公立医院中，近 40%的医院只有一名麻醉提供者。只有 50%的医院报告说，为手术病例提供麻醉提供者的服务是 24 小时提供的。虽然 90%以上的卫生机构都进行了剖宫产，但只有 50%的医院开展了普通外科、小儿外科和开放性骨折手术。尽管大多数医院都提供局部和全身麻醉剂，但并非所有医院都提供安全麻醉所需的基本药物。这项对麻醉卫生系统能力的首次全面评估暴露了提供安全麻醉和因此提供安全手术的关键供应品和劳动力的严重不足。调查的设施资源分配不均。
