タバコ依存症の治療のためのプライマリケア能力の構築:低所得国および中所得国におけるTeach the Teacherプログラムの評価から得られた教訓
Jaime Correia de Sousa1,2, Radost Assenova3, Darush Attar-Zadeh4
1International Primary Care Respiratory Group (IPCRG), Larbert, Scotland.
NPJ primary care respiratory medicine
|August 30, 2025
まとめ
"Teach the Teacher"プログラムを実施することで,医療従事者の能力が向上し, 医療従事者の能力が向上し, 医療従事者の能力が向上します. しかし,持続的な成功には,これらの重要なサービスをサポートするより広範な保健システム改革が必要です.
科学分野:
- 公衆衛生
- 保健 システム の 強化
- 医学教育
背景:
- 喫煙は非伝染性疾患 (NCD) の主要な予防可能な原因で,特に低所得国や中所得国において顕著です.
- 禁煙支援の提供には,初等保健施設が不可欠ですが,Very Brief Advice (VBA) のようなサービスは不足しています.
- 医療従事者の タバコ依存症治療のスキルを高めるための 拡張可能なプログラムが必要です
研究 の 目的:
- 主要保健医療における禁煙訓練の能力構築のための多層の"Teach the Teacher (TtT) "プログラムを作成し,実施する.
- 薬剤療法と専門家のアクセスが限られている国々の状況に,Very Brief Advice plus (VBA+) のカリキュラムを適応させる.
- 国家および地方のネットワークを通じてこのトレーニングをカスケード化することの実現性と効果を評価する.
主な方法:
- 国際プライマリーケア呼吸器グループ (International Primary Care Respiratory Group) が実施した3段階の"Teach the Teacher" (TtT) プログラムです.
- ルーマニア,ブルガリア,北マケドニア,キルギス共和国の地方のニーズに VBA+のカリキュラムを適応させた.
- 地元ネットワークを通じて 医療従事者への研修も行われました
主要な成果:
- 文脈特有の喫煙依存症治療カリキュラムの共同開発は実行可能で効果的であることが判明しました.
- TtTモデルは,初等医療従事者の教育能力の構築に成功しました.
- 継続的な成功は,中断支援と提供者インセンティブへのアクセスの改善を含む構造改革に依存していることが判明しました.
結論:
- "教師に教える"アプローチは,タバコの禁断における迅速な能力構築のための再現可能なモデルです.
- このようなプログラムの完全な可能性は,より広範な保健システム優先事項と政策枠組みとの統合に依存しています.
- 基本的ケアにおける禁煙対策の長期的な効果には 構造改革が不可欠です
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