Delays in Laparatomy for Acute Abdomen: An Observational Study of Pre Hospital Factors, Conducted in two Hospitals (ZMH, MIIH) from January to June2020GC Addis Ababa, Ethiopia
No Thumbnail Available
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Surgical Acute Abdomen is an emergency that requires prompt surgical intervention.Multiple studies have established a direct link between delays in presentation and surgical outcome interms of morbidity and mortality. There are 4 layers/levels within the healthcare system: theEnvironment, the Organization, the Health Care Team and the Patient. When analyzing delays it isprudent to identify deficiencies at all 4 levels of the healthcare model interventions to correct ormitigate deficiencies will be different at each. Even though reasons for delay are multi factorial, it isprudent to identify deficiencies at all 4 levels of the healthcare model. This study mainly focuses on theinfluences of patient and primary health care factors for surgical delay in pre hospital time. We tried tosee why patients delay in seeking help, and some factors after reaching healthcare system. Studies thathave attempted to describe factors that significantly affect Health Seeking Behaviour(HSB) during illnessepisodes can be broadly classified into two. Studies which emphasize the utilization of formal healthsystem, or health care seeking behavior of people. These involve creating models that describe series of
steps people take towards health care model such as The Anderson, pathway models .The Andersenhealthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to theuse of health services. According to the model, usage of health services is determined by three
dynamics: Predisposing, Enabling factors and Need. Our study is under the second group. The Secondgroup of studies demonstrate that decision to engage with particular channel is influenced by variety offactors such as socioeconomic status, age ,sex ,social status, type of illness access to service andperceived quality of service. The second group comprises those studies which emphasize the process ofillness or HSB. Focus on specific genres of determinants which lie between patients and services such as
geographical social economic cultural and organizational factors.
Description
Keywords
Laparatomy ,acute abdomen