中欧和东欧炎症性肠病护理的障碍:一个特定区域的分析
Michal Prokopič1, Georgiana Gilca-Blanariux2,3, Peter Lietava4
1Department of Gastroenterology, Jessenius Faculty of Medicine, Comenius University Bratislava, Kollárova 2, Martin 036 01, Slovakia.
Therapeutic advances in gastroenterology
|June 19, 2023
概括
中欧和东欧的炎症性肠病 (IBD) 护理显示,对节省成本的诊断和有限的咨询服务的获取方式各不相同. 然而,大多数推的治疗方法和IBD中心在该地区可用.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD),包括克罗恩氏病和性结肠炎,是慢性免疫媒介疾病,在欧洲具有显著的流行率.
- 有效的IBD管理需要复杂的护理策略和强大的医疗保健资源,因为相关的患者残疾.
研究的目的:
- 分析IBD护理的诊断和治疗选择的可用性和补偿.
- 评估炎症性肠病 (IBD) 中心的作用和实施.
- 评估中欧和东欧国家的IBD教育和研究倡议.
主要方法:
- 开发了一个由诊断,药物和IBD中心组成的73个陈述的问卷.
- 来自克罗地亚,捷克共和国,匈牙利,摩尔多瓦,波兰,罗马尼亚和斯洛伐克的IBD专家填写了问卷.
- 分析了答案和专家意见,以确定区域IBD护理特点.
主要成果:
- 报销变化影响了节省成本的工具的可用性,例如calprotectin测试和治疗药物监测.
- 大多数参与国家都缺乏专门的饮食和心理咨询服务,用于IBD患者.
- 在整个地区,人们注意到推的诊断方法,治疗方法和建立的IBD中心的充分可用性.
结论:
- 尽管存在持续的财务挑战,但中欧和东欧的IBD护理在诊断和治疗可用性方面表现出强势.
- 解决针对特定工具的补偿差异和加强支持性护理服务对于改善IBD管理至关重要.
- 已建立的IBD中心网络为该地区专业护理的持续发展提供了基础.
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