Loutfi A, Pickering J L
Department of Surgery, McGill University, Montreal, Que.
Can J Surg. 1993 Feb;36(1):91-5.
Ethiopia's need for surgical services is assessed from on-site reviews of operating-room records in various hospitals and compared with data from other countries. Information on surgical manpower and total operations for the country were obtained from the Ministry of Health of Ethiopia. In Ethiopia the ratio of surgeons to population is very low (0.32 surgeons per 100,000 population) and inadequate numbers of essential operations (e.g., cesarean section and inguinal-hernia repair) are performed. The average age of the surgical patient is young (37 years), and men are operated on twice as frequently as women. Of the 9422 operations performed during 6 months in the central, regional and rural hospitals surveyed, 7037 (75%) could be performed by a general practitioner or a paramedic specially trained for the procedure and would not require a fully trained general surgeon. The implications for surgical manpower training are discussed.
通过对埃塞俄比亚各医院手术室记录进行现场审查，评估该国对外科手术服务的需求，并与其他国家的数据进行比较。该国外科人力和总手术量的信息来自埃塞俄比亚卫生部。在埃塞俄比亚，外科医生与人口的比例非常低（每10万人口中有0.32名外科医生），基本手术（如剖宫产和腹股沟疝修补术）的数量不足。外科手术患者的平均年龄较轻（37岁），男性接受手术的频率是女性的两倍。在所调查的中央、地区和农村医院6个月内进行的9422例手术中，7037例（75%）可由全科医生或经过该手术专门培训的护理人员进行，无需完全训练有素的普通外科医生。文中讨论了对外科人力培训的影响。
