一个卫生系统的方法,在低资源的环境中提供关键护理:一个叙事审查
Stephen A Spencer1,2,3, Faustina Excel Adipa4, Tim Baker5,6,7
1Malawi-Liverpool-Wellcome Programme, Blantyre, Malawi.
Intensive care medicine
|July 10, 2023
概括
危急疾病在低收入国家 (LICs) 中是一个越来越大的挑战. 本次审查审查了加强卫生系统,以建立LIC的重症监护能力,并提出了政策建议.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 关键护理医学 关键护理医学
背景情况:
- 低收入国家 (LICs) 面临着严重疾病的重大负担,给医疗保健系统带来了巨大的压力.
- 预计由于人口变化,有限的初级保健服务和环境/社会因素,对重症监护的需求将增加.
- 全民健康覆盖需要改善紧急和重症护理服务的准入.
研究的目的:
- 从卫生系统的角度来看,审查 LIC 中的重症监护能力建设.
- 识别挑战,并提供改善低资源环境中的重症监护的建议.
- 为决策者,研究人员和医疗保健工作者提供关键护理发展的信息.
主要方法:
- 采用了叙事审查方法.
- 进行了系统的文献搜索.
- 世界卫生组织 (WHO) 的卫生系统框架,包括六个构建块,被用来构建研究结果.
主要成果:
- 研究结果分析了世卫组织卫生系统的六个组成部分:服务提供,卫生工作人员,卫生信息系统,获得基本药物和设备,融资和领导/治理.
- 审查确定了每个卫生系统组成部分内能力建设的关键领域.
- 从文献审查中得出建议,以解决LIC中的急症护理需求.
结论:
- 加强卫生系统对于在LICs建立关键护理能力至关重要.
- 需要采用多方面的方法来解决世卫组织所有六个卫生系统块的问题.
- 这些建议为政策和实践提供了一个框架,以加强在资源有限的环境中提供关键护理.
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