世界中の怪我の予防とケアを強化します
Charles Mock1, Robert Quansah, Rajam Krishnan
1Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, USA. cmock@u.washington.edu
Lancet (London, England)
|June 29, 2004
まとめ
怪我の予防と治療には,世界的な健康対策の強化が必要である. これには,研究,標的型介入,そして,特に発展途上国における基本的な保健サービスの改善が含まれる.
科学分野:
- 公衆衛生は公衆衛生である.
- 怪我の予防とコントロール
- グローバル・ヘルス・セキュリティー グローバル・ヘルス・セキュリティー
背景:
- 怪我の世界的な負担は大きいが,健康改善のイニシアティブではしばしば過小評価されている.
- 世界中で現在行われている怪我の予防と治療の取り組みは,大幅に強化する必要がある.
- 脆弱な集団,特に低所得国では,不均衡に高い負傷率に直面しています.
研究 の 目的:
- 世界的な怪我の予防と治療戦略の強化のための措置を検討し,提案する.
- 科学的根拠に基づくリスク因子分析と効果的な介入プログラムの必要性を強調する.
- より広範な社会および人権の文脈の中で,傷害管理に取り組むことの重要性を強調する.
主な方法:
- 既存の怪我予防・治療対策の見直し.
- 環境改変,工学,行動促進など,介入の鍵となる分野を特定する.
- 傷害管理に関する研究,実施,評価のための国家能力の強化に重点を置く.
主要な成果:
- 科学的に根拠のある怪我のリスク因子研究が評価された予防プログラムに翻訳される必要性.
- 潜在的な介入には,環境変化,製品安全工学,ソーシャルマーケティング,立法,法執行を通じて行動促進が含まれます.
- 治療には,高利益率のサービスを定義し,それらを基本的保健サービスとして統合する必要があります.
結論:
- 傷害管理に関する研究,対策の設計,実施,評価のための国家機関の強化は極めて重要です.
- 傷害率が高く,制御活動が限られている開発途上国には,より大きな注力が必要である.
- 傷害管理の取り組みは,人権と社会的平等を考慮し,脆弱な集団をターゲットにする必要があります.
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