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首页> 外文期刊>South African Family Practice >Description of surgical and anaesthetic services provided at two district hospitals in KwaZulu-Natal in relation to the surgical norms and standards outlined in the Service Package for District Hospitals
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Description of surgical and anaesthetic services provided at two district hospitals in KwaZulu-Natal in relation to the surgical norms and standards outlined in the Service Package for District Hospitals

机译：夸祖鲁-纳塔尔省两所地区医院根据地区医院服务包中概述的手术规范和标准提供的手术和麻醉服务的说明

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Background: Provision of surgical services at district hospitals (DHS) is cost effective and important. The District Hospital Service Package for South Africa (package of services) specifies the services that a district hospital should provide. The aim of this study was to document the surgical services provided at two DHS in KwaZulu-Natal and to compare this with the recommendations in the package of services.Methods: In a retrospective quantitative study, data from 2008 were collected from the theatre register at two DHS. Data were analysed and results compared with the norms and standards in the package of services. Results were presented to staff at the hospitals, who then commented on the challenges of providing surgical services at DHS.Results: Only 60% and 30% respectively of procedures listed in the package of services were being carried out at the two hospitals. In total, 3 900 procedures were carried out over the year. Dundee Hospital offered a broader range of surgical procedures and anaesthetics than the Church of Scotland Hospital (COSH). COSH has a large obstetric burden, with 3 666 deliveries each year. A large number of procedures were being carried out by a single operator.Conclusions: Many surgical procedures are being carried out even though neither hospital provides the full complement of surgical services as specified in the package of services. The wide variation between the surgical services offered reflects the surgical and anaesthetic skills at the respective hospitals. Potential medico-legal hazards that require urgent attention were identified. A review of the package of services is essential to identify core procedures that must be provided at DHS.
机译：背景：在地区医院（DHS）提供外科手术服务既经济又重要。南非地区医院服务包（服务包）指定了地区医院应提供的服务。这项研究的目的是记录在夸祖鲁-纳塔尔省两个DHS提供的手术服务，并将其与服务包中的建议进行比较。方法：在一项回顾性定量研究中，2008年的数据来自剧院登记处。两个DHS。分析数据并将结果与​​服务包中的规范和标准进行比较。结果提交给了医院的工作人员，然后他们评论了DHS提供手术服务所面临的挑战。结果：两家医院仅分别执行了服务包中列出的程序的60％和30％。全年总共进行了3 900道手术。与苏格兰教会医院（COSH）相比，邓迪医院提供的手术方法和麻醉药范围更广。 COSH的产科负担很大，每年有3 666例分娩。结论：即使两家医院都没有提供一揽子服务中所规定的全部手术服务，但仍在执行许多外科手术。所提供的手术服务之间的差异很大，反映了各自医院的手术和麻醉技术。确定了需要紧急注意的潜在医疗法律风险。对服务包的审查对于确定DHS必须提供的核心程序至关重要。

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