改善低收入和中等收入国家的病理学和实验室医学:解决方案的路线图
Shahin Sayed1, William Cherniak2, Mark Lawler3
1Department of Pathology, Aga Khan University Hospital Nairobi, Nairobi, Kenya.
Lancet (London, England)
|March 19, 2018
概括
病理学和实验室医学 (PALM) 的低投资阻碍了低收入国家的医疗保健. 本文提出了劳动力,基础设施,培训和质量保证的解决方案,以加强PALM服务.
科学领域:
- 加强卫生系统
- 实验室医学
- 全球健康
背景情况:
- 病理学和实验室医学 (PALM) 服务对医疗保健系统至关重要,但在低收入和中等收入国家 (LMIC) 面临投资不足和碎片化.
- 之前的研究发现了PALM服务提供的主要障碍:劳动力,基础设施,教育/培训和质量保证.
研究的目的:
- 确定并提出可行的解决方案,以加强LMIC的PALM服务提供.
- 解决发现的障碍,促进可持续的PALM系统.
主要方法:
- 对克服PALM服务提供障碍的战略进行审查和综合.
- 专注于劳动力发展,基础设施提升,教育改进和质量保证实施.
- 探索新技术和公私合作伙伴关系.
主要成果:
- 解决方案包括指导,持续专业发展,任务共享,访客计划,改善教育,供应链管理和实验室信息系统.
- 远程诊断和临床检测可能有好处.
- 强调质量保证,认证和公私伙伴关系至关重要.
结论:
- 一个全面的PALM套餐,集成到国家实验室系统和战略计划中,为LMICs提出.
- 加强PALM对于公平获得医疗服务至关重要.
- 可持续的解决方案需要解决劳动力,基础设施,培训和质量问题.
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