Lack of access to paediatric cardiology services in the public health system in four major urban centres in Perú
| Autor: | Jaime A Seabrook, Luis Altamirano-Diaz, Eva Welisch, Kambiz Norozi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
universal health insurance
Heart Defects Congenital medicine.medical_specialty pediatrics physicians Population education Cardiology Economic shortage 030204 cardiovascular system & hematology Pediatrics Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Universal Health Insurance Physicians Surveys and Questionnaires parasitic diseases Peru medicine Urban Health Services Humans 030212 general & internal medicine cardiovascular diseases education.field_of_study business.industry Public health public health urban health services congenital General Medicine Health care workforce Public health care Paediatric cardiology Family medicine Pediatrics Perinatology and Child Health Capital city heart defects Universal health care Public Health Cardiology and Cardiovascular Medicine business |
| Zdroj: | Paediatrics Publications |
| Popis: | For one-third of the Peruvian population living in large cities outside the capital city Lima, there is no access to paediatric cardiology services provided by the public health care system. Children with suspected CHD living in these areas are referred to the adult cardiologist working at the regional hospitals for care and treatment. This is a consequence of the universal health care system and the heavily skewed distribution of the health care workforce towards the capital city of Lima. This imbalance has resulted in a severe shortage of paediatric cardiologists practicing outside of Lima and the adult cardiologists that remain are left to make up for this deficit.To gain a better understanding of the current model of care for children with suspected CHD within the public health care system in Peru, we surveyed adult cardiologists from four major urban centres that serve one-third of the Peruvian population outside of Lima. We determined that adult cardiologists spend a significant amount of time treating children, but lack the specialised training and equipment to provide model care. The cardiologists indicated that receiving additional training and appropriate equipment would help enable them to provide proper care for these children. |
| Databáze: | OpenAIRE |
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