Assessment of Required Patient Travel to Receive Interventional Radiology Services in the Resource-Limited Setting of Tanzania.

Autor:	Alswang JM; Harvard Medical School, Boston, Massachusetts. Electronic address: jared_alswang@hms.harvard.edu., Mbuguje EM; Department of Radiology, Muhimbili National Hospital, Dar Es Salaam, Tanzania., Naif A; Department of Radiology, Muhimbili National Hospital, Dar Es Salaam, Tanzania., Musa B; Department of Radiology, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania., Laage Gaupp FM; Section of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut., Ramalingam V; Division of Vascular and Interventional Radiology, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Jazyk:	angličtina
Zdroj:	Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2023 Dec; Vol. 34 (12), pp. 2213-2217. Date of Electronic Publication: 2023 Aug 22.
DOI:	10.1016/j.jvir.2023.08.008
Abstrakt:	This study aimed to evaluate the geographic patient profile of a country's first interventional radiology (IR) service in sub-Saharan Africa. From October 2018 to August 2022, travel time (1,339 patients) and home region (1,184 patients) were recorded from 1,434 patients who underwent IR procedures at Tanzania's largest referral center. Distances traveled by road were calculated from the administrative capital of each region using a web mapping platform (google.com/maps). The effect of various factors on distance and time traveled were assessed. Patients from all 31 regions in Tanzania underwent IR procedures. The mean and maximum calculated distance traveled by patients were 241.6 km and 1,387 km, respectively (Sk2 = 1.66); 25.0% of patients traveled for over 6 hours for their procedure. Patients traveled furthest for genitourinary procedures (mean = 293.4 km) and least for angioplasty and stent placement (mean = 123.9 km) (P < .001). To increase population access and reduce travel times, geographic data should be used to decentralize services. (Copyright © 2023 SIR. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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