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Anesthesia Health System Capacities in Public Hospitals of Punjab, Pakistan.

Purpose: This study intends to outline the capacity of anesthesia health system in public hospitals of Punjab, Pakistan. Methods: A cross-sectional survey among public hospitals of Punjab was carried out that provide emergency and elective surgical care. We measured capacity in terms of infrastructu...

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Published in:Inquiry (00469580) Vol. 58; pp. 1 - 9
Main Authors: Shahbaz, Sumbal, Zakar, Rubeena, Fischer, Florian
Format: research tables/charts Journal Article
Published: Sage Publications Inc. 12/13/2021
Online Access:View this record in EBSCOhost
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      dt: 12/13/2021
      vid: 58
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/00469580211059740
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        atl: Anesthesia Health System Capacities in Public Hospitals of Punjab, Pakistan.
      aug:
        au:
          Shahbaz, Sumbal
          Zakar, Rubeena
          Fischer, Florian
        affil: Institute of Public Health, 14903 Charité – Universitätsmedizin Berlin, Berlin, Germany
      sug:
        subj:
          Anesthesiology Service Evaluation
          Hospitals, Public Pakistan
          Human
          Pakistan
          Cross Sectional Studies
          Anesthetics, General Supply and Distribution
          Anesthetics, Local Supply and Distribution
          Anesthesiologists Labor Supply
          Personnel, Health Facility Labor Supply
          Anesthesiology Service Labor Supply
          Anesthesia Equipment and Supplies
          Cesarean Section
          Surgery, Operative
          Drugs, Essential
          Checklists
          Data Analysis Software
          Descriptive Statistics
      ab: Purpose: This study intends to outline the capacity of anesthesia health system in public hospitals of Punjab, Pakistan. Methods: A cross-sectional survey among public hospitals of Punjab was carried out that provide emergency and elective surgical care. We measured capacity in terms of infrastructure; surgical, anesthetic, and obstetric (SAO) workforce; surgical interventions; information management; equipment; and medication which was accomplished between October 2020 and February 2021. Results: Out of 106 public hospitals in Punjab, almost 40% had only one anesthesia provider. Only 50% of the hospitals reported round the clock availability of anesthesia providers for surgical cases. While caesarean sections were carried out in more than 90% of health facilities, general surgery, pediatric surgery, and open fracture surgery were conducted only in 50% of the hospitals. Although local and general anesthetic agents were available in the majority of hospitals, essential medicines for safe anesthesia were not available in all hospitals. Conclusion: This first comprehensive assessment of anesthesia health system capacity exposed a crucial deficiency of critical supplies and workforce for providing safe anesthesia and, hence, safe surgery. The surveyed facilities had an uneven division of resources.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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