病理学と臨床医学のサービスへのアクセス:重要なギャップ
Michael L Wilson1, Kenneth A Fleming2, Modupe A Kuti3
1Department of Pathology and Laboratory Services, Denver Health, Denver, CO, USA; Department of Pathology, University of Colorado School of Medicine, Aurora, CO, USA.
Lancet (London, England)
|March 19, 2018
まとめ
質の高い病理学および研究室医療 (PALM) サービスへのアクセスは,特に低所得国および中所得国 (LMIC) の世界保健目標にとって極めて重要です. しかし,LMICにおけるPALMサービスは,範囲,質,およびリソースに関して大きな課題に直面しています.
科学分野:
- 世界保健
- 病理学と研究室医学 (PALM)
- 保健 システム の 強化
背景:
- 持続可能な開発目標と普遍的な健康保険の実現には 健全な医療制度が必要です
- 低・中所得国 (LMIC) は,特に病理学と研究室医学 (PALM) で,限られた医療資源で不均衡な病気の負担に直面しています.
研究 の 目的:
- LMIC内のヘルスケアシステムにおけるPALMサービスの重要な役割を強調する.
- 資源の限られた環境で最適なPALMサービスの提供を妨げている主要な障壁を特定する.
主な方法:
- この論文は,LMICにおけるPALMに焦点を当てたシリーズの最初のものです.
- これらの地域におけるPALMサービスの機能と課題に関する既存の知識をまとめています.
主要な成果:
- PALMのサービスは,正確な診断,予後,治療指導,スクリーニング,監視,および医療法上の支援に不可欠です.
- LMICにおける現在のPALMサービスは,範囲と質において不十分です.
- 4つの主要な障壁が特定されました. 労働力能力,教育/訓練,インフラ,品質/基準/認定です.
結論:
- 特定された障壁に対処することは,LMICにおけるPALMサービスの強化に不可欠です.
- PALMサービスの強化は,世界の保健の平等を達成し,資源の限られた環境で患者の成果を改善するために不可欠です.
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