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Impact of rural medical care in remote mountainous region of Pakistan: challenges and opportunities
Pakistan Journal of Medical Sciences. 2009; 25 (1): 131-136
em Inglês | IMEMR | ID: emr-92389
ABSTRACT
To share the experience of developing rural medical care and the impact on the health indicators of the population. The clinical data was collected prospectively using ICD-9 coding and data base was developed on a desk top computer. Information about the operative procedures and outcome were separately collected on a excel work sheet. The data from January 1998 to December 2001 were retrieved and descriptive analysis was done on epi info-6. Thirty one thousand seven hundred eighty two [31,782] patients were seen during this period, 53% were medical, 24% surgical, 16% obstetric and 7% with psychiatric illness. Out of 1990 surgical operations 32% were general surgery, 31% orthopedic, 21% pediatric, 12% obstetric and 4% urological cases. There were 21 surgical mortality including 6 operative deaths, 15 non operative deaths and 89% of the mortalities were unavoidable. The crude in hospital mortality decreased significantly from 5.5% in 1992 to 1.1% in 2001 and the contributing factors were improved structure and process of care. The impact of secondary care rural medical centre [AKMC] is obvious from the clinical audit including accessibility, sustainability and quality of care. This could be a model of care in rural Pakistan where accessibility, affordability and quality of care is lacking
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Índice: IMEMR (Mediterrâneo Oriental) Assunto principal: Qualidade da Assistência à Saúde / Avaliação de Programas e Projetos de Saúde / Estudos Prospectivos / Reforma dos Serviços de Saúde / Indicadores de Qualidade em Assistência à Saúde Tipo de estudo: Estudos de avaliação Limite: Humanos Idioma: Inglês Revista: Pak. J. Med. Sci. Ano de publicação: 2009

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Índice: IMEMR (Mediterrâneo Oriental) Assunto principal: Qualidade da Assistência à Saúde / Avaliação de Programas e Projetos de Saúde / Estudos Prospectivos / Reforma dos Serviços de Saúde / Indicadores de Qualidade em Assistência à Saúde Tipo de estudo: Estudos de avaliação Limite: Humanos Idioma: Inglês Revista: Pak. J. Med. Sci. Ano de publicação: 2009