获得病理学和实验室医学服务:一个关键的差距
Michael L Wilson1, Kenneth A Fleming2, Modupe A Kuti3
1Department of Pathology and Laboratory Services, Denver Health, Denver, CO, USA; Department of Pathology, University of Colorado School of Medicine, Aurora, CO, USA.
Lancet (London, England)
|March 19, 2018
概括
获得优质的病理学和实验室医学 (PALM) 服务对于实现全球卫生目标至关重要,特别是在低收入和中等收入国家 (LMIC). 然而,LMIC的PALM服务在范围,质量和资源方面面临重大挑战.
科学领域:
- 全球健康
- 病理学和实验室医学 (PALM)
- 加强卫生系统
背景情况:
- 实现可持续发展目标和普及医疗覆盖需要强大的医疗保健系统.
- 低收入和中等收入国家 (LMIC) 面临着不成比例的疾病负担,医疗保健资源有限,特别是在病理学和实验室医学 (PALM) 中.
研究的目的:
- 强调PALM服务在LMIC医疗保健系统中的关键作用.
- 确定阻碍在资源有限的环境中提供最佳PALM服务的关键障碍.
主要方法:
- 这篇论文是关于LMIC地区PALM系列论文中的第一篇.
- 尽管数据稀少,但它综合了有关PALM服务在这些地区的功能和挑战的现有知识.
主要成果:
- PALM服务对于准确的诊断,预后,治疗指导,查,监测和医疗法律支持至关重要.
- 目前在LMIC的PALM服务范围和质量都不足.
- 确定了四个主要障碍:劳动力能力,教育/培训,基础设施和质量/标准/认证.
结论:
- 解决发现的障碍对于在LMIC增强PALM服务至关重要.
- 加强PALM服务对于实现全球卫生公平和改善资源有限的患者结果至关重要.
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