在47个撒哈拉以南非洲国家的非医生临床医生
Fitzhugh Mullan1, Seble Frehywot
1George Washington University, School of Public Health and Health Services, Department of Health Policy, Washington, DC, USA. fmullan@gwu.edu
Lancet (London, England)
|June 19, 2007
概括
非医生临床医生 (NPC) 是撒哈拉以南非洲地区的重要卫生工作者,经常超过医生人数. 他们的经济有效的培训和农村安置使他们成为扩大医疗保健准入的关键.
科学领域:
- 全球健康 全球健康
- 健康劳动力研究 卫生劳动力研究
- 医学教育 医学教育
背景情况:
- 非医生临床医生 (NPC) 执行传统上由医生承担的诊断和临床角色.
- 撒哈拉以南非洲面临医生短缺,需要替代医疗保健提供者.
研究的目的:
- 确定NPC在撒哈拉以南非洲的存在和作用.
- 评估NPC在加强区域卫生工作人员方面的潜力.
主要方法:
- 在撒哈拉以南非洲的47个国家对医疗保健提供者的调查.
- 对NPC培训时间,成本和实践地点的分析.
主要成果:
- 在25个国家确定了NPC,其数量与9个国家的医生相等或超过.
- 培训NPC进行基本诊断,治疗和一些专业程序.
- 许多NPC源自和服务于农村,服务不足的地区.
结论:
- 国民医疗保险 (NPC) 是一个具有成本效益和可访问的医疗保健资源.
- 国家医疗保险公司可以为扩大卫生工作人员队伍做出重大贡献,特别是在艾滋病毒/艾滋病计划中.
- 有针对性的培训和NPC的部署可以改善资源有限的环境中的医疗保健服务.
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