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的oai: heighpubs.org: 10.29328 / journal.jcmhs.1001008
2021-06-28
JCMHS:影响
卫生保健机构诊断和管理常见遗传疾病的机构能力——来自安得拉邦北部沿海地区的研究
Koteswara Rao Pagolu
T Raghava饶
& lt; h2> Abstract< / h2>背景:在印度，遗传疾病是社区健康保护系统中一个被忽视的服务因素。本研究旨在评估遗传疾病治疗服务的可及性，并评估地区卫生系统在威慑和管理服务方面的实践。& lt; p>方法:对454名医务人员(MO& rsqus)、94名认可的社会卫生积极分子(ASHAs)工作者、86名多用途卫生助理——女性(MPHA-F)、34名多用途卫生助理——男性(MPHA-M)、14名多用途卫生主管——女性(MPHS-F)、10名多用途卫生监督员(男性)，6名多用途卫生推广干事/社区卫生干事，10名公共卫生护士，45名实验室技术员(LT& rsqu; s)在政府卫生部门工作，254名在私营卫生部门工作，409名护理人员在政府卫生部门工作，995名在私营卫生部门工作，15个初级卫生中心、4个社区卫生中心、1个区政府医院、3个转诊医院。从私人卫生机构的角度来看，共开展了25家企业医院(CH& rsqu; s)、3所医学院(MC& rsqu; s)和25个诊断实验室(DL& rsqus)。结果:调查结果显示，超过70%的健康中心配备了足够的工作人员，但没有一个工作人员获得了任何遗传疾病管理的操作培训。dh&s的大部分都有基本的基础设施和诊断设施。 However, the greater part of the CHC’s and PHC’s had inadequate diagnostic facilities related to genetic disease management. Biochemical, molecular, and cytogenetic services were not available at PHC’s and CHC’s. DH’s, RH’s, and all selected medical colleges were found to have offered the basic Biochemical genetics units during the survey. In 24% of CH’s, the basic biochemical units are available and 32% (8 out of 25) of DL’s have the advanced biochemical genetics units by study. Molecular genetics units were found to be available in 28% (7 out of 25) of DL’s during the study. About 6 (24%) diagnostic centers of cytogenetic laboratories were located in the Visakhapatnam district under the private sector.</p> <p>Conclusion: The district health care infrastructure in India has a shortage of basic services to be provided for the genetic disorder. With some policy resolutions and facility strengthening, it is possible to provide advanced services for a genetic disorder in the district health system.</p>
社区医学与健康解决方案杂志-提高科学出版公司188bet体育
2021-06-28
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