Garcia Roxanna M, Shiraishi-Zapata Carlos Javier, Vallejos Ricardo César Zúñiga, Chiroque Dante Pool Gil, Maldonado Mario Alejandro Oyanguren, Palacios Juan Carlos Paico, Romero Ebella Estela, Álamo Aldo Humberto Villarreal, Tovar Jaime Sergio Castillo, Uribe Salomón Jesús Aguirre, Ruiz Renato Díaz, Vilela Yovanky Miluska More
Department of Neurosurgery, Northwestern University. Chicago, USA.
Surgery and Anesthesiology Service, Hospital II Integrado Talara EsSalud. Talara, Perú. Second Specialization Unit, School of Health Sciences, Universidad Nacional de Piura, Perú.
Rev Colomb Anestesiol. 2023 Feb 2;51(1). doi: 10.5554/22562087.e1058. Epub 2022 Dec 15.
Low and medium income countries face challenges in access and delivery of surgical care, resulting in a high number of deaths and disabled individuals.
To estimate the capacity to provide surgical and trauma care in public hospitals in the Piura region, Perú, a middle income country.
A survey was administered in public hospitals in the Peruvian region of Piura, which combined the Spanish versions of the PIPES and INTACT surveys, and the WHO situational analysis tool. The extent of the event was assessed based in the absolute differences between the medians of the scores estimated, and the Mann-Whitney bilateral tests, according to the geographical location and the level of hospital complexity.
Seven public hospitals that perform surgeries in the Piura region were assessed. Three provinces (3/8) did not have any complexity healthcare institutions. The average hospital in the peripheral provinces tended to be smaller than in the capital province in INTACT (8.25 vs. 9.5, p = 0.04). Additionally, water supply issues were identified (2/7), lack of incinerator (3/7), lack of uninterrupted availability of a CT-scanner (5/7) and problems with working hours; in other words, the blood banks in two hospitals were not open 24 hours.
There is a significant inequality among the provinces in the region in terms of their trauma care capacities and several shortfalls in the public sector healthcare infrastructure. This information is required to conduct future research on capacity measurements in every public and private institution in the Peruvian region of Piura.
中低收入国家在外科护理的可及性和提供方面面临挑战，导致大量死亡和残疾人员。
评估秘鲁这个中等收入国家皮斯科地区公立医院提供外科和创伤护理的能力。
在秘鲁皮斯科地区的公立医院进行了一项调查，该调查结合了西班牙语版的PIPES和INTACT调查以及世界卫生组织的情况分析工具。根据估计分数中位数之间的绝对差异以及曼-惠特尼双边检验，按地理位置和医院复杂程度评估事件的程度。
对皮斯科地区七家进行手术的公立医院进行了评估。三个省份（3/8）没有任何复杂程度的医疗机构。周边省份的医院平均规模在INTACT方面往往比省会省份的医院小（8.25对9.5，p = 0.04）。此外，还发现了供水问题（2/7）、缺乏焚化炉（3/7）、CT扫描仪不能持续可用（5/7）以及工作时间问题；也就是说，两家医院的血库不是24小时开放。
该地区各省在创伤护理能力方面存在显著不平等，公共部门医疗基础设施存在若干不足。这些信息对于未来在秘鲁皮斯科地区的每个公立和私立机构进行能力测量研究是必要的。
