WHOの重要な非伝染性疾患 (PEN) 介入のパッケージの実施に関する証拠:体系的なレビュープロトコル
Hongyi Xu1, Alarcos Cieza2, Enxhi Qama3
1Department of Noncommunicable Diseases and Mental Health, World Health Organization, Geneva, Switzerland xuh@who.int.
BMJ open
|February 19, 2026
まとめ
このシステマティック・レビューでは,世界保健機関 (WHO) の"非伝染性疾患に関する重要な介入のパッケージ" (WHO PEN) の低資源環境における実施について検討しています. これは,非伝染性疾患 (NCD) のプライマリヘルスケアを改善するために,どのようなコンポーネントが使用され,どのように実装されているかを理解することを目的としています.
科学分野:
- 公衆衛生は公衆衛生である.
- 医療システム研究 医療システム研究
- 実施科学を実装する.
背景:
- 世界保健機関 (WHO) の非伝染性疾患対策パッケージ (WHO PEN) は,資源が限られている地域における非伝染性疾患 (NCD) の管理に極めて重要です.
- 多くの国がWHO PENを採用しているが,その実施の具体性と文脈的な変動に関する統合された証拠は不足している.
- WHO PENの実施の"何"と"どのように"を理解することは,保健システムと患者の結果への影響を評価するために不可欠です.
研究 の 目的:
- 主要保健医療施設におけるWHO PEN介入の実施を体系的に検討する.
- 実施されたWHO PENの特定の構成要素と,使用される戦略を特定する.
- WHO PENの将来の更新に情報を提供し,NCD介入の拡大を導く.
主な方法:
- PRISMA-Pのガイドラインに従った体系的なレビュープロトコル.
- 2025年6月までの主要データベース (PubMed,Web of Science,Cochrane,Google Scholar) の文献検索,灰色文献で補完されている.
- 2段階のレビュープロセス:第1段階 (レビューの概要) と第2段階 (プライマリ研究の混合メソッドのシステマティックレビュー).
主要な成果:
- このセクションは,レビューが完了すると埋められます.
- 予想される結果は,実施されたWHO PENコンポーネントと実施戦略を詳細に説明します.
- 結果は,WHO PENの採用と適応の成功に影響を及ぼす要因を強調します.
結論:
- この体系的なレビューは,WHO PENの実施に関する包括的な理解を提供します.
- 発見は,NCDに対する初等医療の強化のための証拠に基づいた戦略をサポートします.
- このレビューは,より大きな公衆衛生への影響のためにWHO PENの最適化に貢献します.
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