全球保健状况的评估
Aminu K Bello1, Adeera Levin2, Marcello Tonelli3
1Department of Medicine, University of Alberta, Edmonton, Canada.
JAMA
|April 22, 2017
概括
全球护能力差异很大, 服务和劳动力方面存在很大差距, 特别是在发展中国家. 这凸显了改善全球病管理策略的必要性.
科学领域:
- 肝脏病学
- 公共卫生
- 全球健康公平
背景情况:
- 脏疾病是一个重大的全球健康挑战.
- 关于全球脏护理的可用性和质量的信息有限.
- 解决这些缺陷对于改善患者的结果和减少病负担至关重要.
研究的目的:
- 评估全球提供护的准备,能力和能力.
- 确定不同国家和地区的脏护理供应的差异.
- 为提高全球脏护理质量制定战略.
主要方法:
- 国际脏病学会 (ISN) 在2016年5月至9月进行了问卷调查.
- 该调查针对130个ISN附属国家,收集关键利益相关者的意见.
- 收集了国家在服务提供,融资,劳动力,信息系统和护管理方面的能力.
主要成果:
- 来自125个国家的回复显示,护能力在区域间和区域内存在很大差异.
- 血液透析,腹腔透析和移植服务的可用性差异很大,非洲的比例较低.
- 慢性病监测和健康信息系统 (注册) 的基本诊断工具在全球范围内有限,特别是在发展中国家.
结论:
- 这项研究强调了全球护基础设施和服务的重大不平等.
- 在工作人员,诊断和医疗信息系统方面存在严重缺陷.
- 调查结果强调需要有针对性的干预措施, 以提高全球脏护理质量和可获得性.
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