Diagnosis and management of surgical disease at Ethiopian health centres: cross-sectional survey of resources and barriers to care.
Nichole E StarrSarah CarpenterMelissa CarvalhoAileen SouzaRobin ChinGeorge KasotakisMengistu WorkuPublished in: BMJ open (2019)
HCs in South Wollo Zone, Ethiopia are well-staffed with nurses and health officers, however they face a number of diagnostic and treatment challenges due to lack of material resources. Many patients requiring surgery receive initial diagnosis and care at HCs; sociocultural and financial factors commonly prohibit these patients from receiving surgery. Further study is needed to determine how such delays may impact patient outcomes. Improving material resources at HCs and exploring community and family perceptions of surgery may enable more streamlined access to surgical care and prevent delays.
Keyphrases
- healthcare
- minimally invasive
- end stage renal disease
- mental health
- ejection fraction
- palliative care
- coronary artery bypass
- chronic kidney disease
- newly diagnosed
- public health
- pain management
- primary care
- risk assessment
- coronary artery disease
- patient reported outcomes
- affordable care act
- human health
- acute coronary syndrome
- patient reported
- percutaneous coronary intervention
- combination therapy
- health promotion