Darbo tikslas. Įvertinti asmens sveikatos priežiūros įstaigų (toliau ASPĮ), teikiančių ortopedijos traumatologijos ir/arba chirurgijos paslaugas, galimybes teikti kvalifikuotą pagalbą ir jų infrastruktūros atnaujinimo poreikius. Tyrimo metodika. Tyrimo objektas – ASPĮ, teikiančios pagalbą traumas patyrusiems pacientams bei GMP įstaigos. Tyrimo metodai: Mokslinės literatūros analizė, respondentų apklausa, statistinė duomenų analizė naudojant SPSS 13 versiją bei MS Excel, geografinės informacinės sistemos „Arc View 9.11” programinę įranga. Rezultatai. Esant vienam traumos centrui apskrityje (i��� viso 10 centrų), visiems Lietuvos gyventojams pagalba būtų prieinama per 1 val. Šiuo metu GMP per 15 minučių prieinama pusei LR teritorijos. Iš viso į 0 lygio traumos centrus kreipiasi beveik trečdalis visų traumą patyrusių pacientų, tačiau vienas šio lygio centras vidutiniškai aptarnauja 13,5 kartų mažiau pacientų, nei trečiojo lygio (p<0,005). Nulinio lygio centre vidutiniškai teikiama 9 kartų mažiau stacionarių paslaugų, lyginant su III lygio traumos centru (p<0,005). Nulinio lygio įstaigose traumos pacientų srautas yra nepakankamas lyginant su kitų lygių ASPĮ srautais. Dalis 0 lygio traumos centrų neturi pakankamo specialistų (ortopedų traumatologų, anesteziologų ir reanimatologų) skaičiaus, kurie užtikrintų nenutrūkstamą 24 valandų pagalbos teikimo ciklą. Didžiausias investicijų poreikis yra III lygio traumos centrų, tačiau investicijų poreikis 1 ligoniui šio lygio centre - 6,5... [toliau žr. visą tekstą] / The aim - to evaluate possibilities of the health care institutions which provides orthopaedic traumatology and/or surgery services, to provide qualified medical care and their infrastructure renewal needs. Methods. The object of the study is health care institutions which provide services for patients after trauma and also emergency service providers. Methods of the study: the analysis of the academic literature, respondents surveys, analysis of the statistical data using „SPPS“ 13th version, MS Excell program and geographical information system as well as Arc View 9.11 software program. Results. If there is one trauma centre in the area (there are 10 centres overall), all residents of Lithuania would have the access to the health care institutions in one hour. At this time emergency service is available in 15 minutes in the half of the Lithuanian territory. Overall, third part of the patients are maintained by zero level hospitals. Unfortunately, one of these centres (hospital) service 13.5 times less patients than third level canters (p < 0.005). On average, zero level centres provide service for the stationary care 9 times less compared to the third level hospitals (p<0.005). The demand for the zero level centres is insufficient compared to demand for university level care (hospitals). Part of the zero level trauma centres don‘t have sufficient number of specialists of anaesthesiology, reanimatology and traumatology disciplines that could provide continues 24 hour... [to full text]

The study examined the responses of Non-Governmental Organisations (NGOs) within the victim empowerment sector in KwaZulu-Natal, to the needs and expectations of volunteer trauma support workers. The objectives of the study were to determine whether or not NGOs have volunteer care and support programmes and what challenges or constraints exist in providing such programmes. Systems and ecosystems theory were used as the theoretical framework guiding the study. Firstly, it provided a basis for understanding reciprocity between organisations and the environment. Secondly, it provided a framework for understanding the context in which volunteers and NGOs operate. A qualitative approach was used. This allowed the researcher to gather in-depth data necessary for the study. The study made use of non-probability sampling. Ten organisations were purposively sampled for the study. These included two organisations from Pietermaritzburg, and eight organisations from Durban. All organisations are affiliated to the Themba Lesizwe network. Data was collected by use of in-depth interviews, using an interview guide. All interviews were tape recorded and transcribed. The results of the study have shown that, although volunteers were recruited to provide trauma support work, they were also providing generic work including community interventions. The organisations' major reasons for utilizing the services of volunteers were shortage of staff and lack of funding to employ fulltime staff. The study found that whilst all organisations had care and support programmes in place to support volunteers, in the form of training, supervision and debriefing, these were uncoordinated and unstructured. The major finding of the study was that out of ten organisations, only one had a volunteer policy. All participants in the study agreed that there was a need for a volunteer policy and recommended that volunteer policies be developed. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

The thesis deals with the issue of knowledge of the health care personnel of medical teaching hospitals (trauma centers) contact workplaces in the field of the radiation protection. The subject reflects the increasing risk associated with the possible radiation exceptional occurrences, but also a possible threat of the radiation terrorism. On the basis of the quantitative analysis, the thesis maps out the level of concerned personnel in the field of radiation protection and emergency preparedness and thus their ability to respond adequately to the emergencies and to provide a specialized health care to a greater number of affected people.