任务转移:社区卫生工作者能否成为解决不活跃国家问题的一部分?
Estelle D Watson1,2, Shabir Moosa3, Dina C Janse Van Rensburg4
1Department of Exercise Science and Sports Medicine, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa.
International journal of environmental research and public health
|September 8, 2023
概括
社区卫生工作者 (CHWs) 可以接受培训来规定体育活动,提供一种可扩展的解决方案,以打击缺乏资源的环境中的非传染性疾病 (NCDs). 这一任务转移战略旨在减少低收入和中等收入国家 (LMICs) 不断增长的非传染性疾病负担.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 加强卫生系统 加强卫生系统
背景情况:
- 非传染性疾病 (NCDs) 在低收入和中等收入国家 (LMICs) 构成了重大和日益增长的挑战.
- 由于非传染性疾病的负担日益增加,LMICs的现有医疗保健系统面临着压力.
- 生活方式行为咨询对于NCD预防至关重要,强调需要创新的策略.
研究的目的:
- 为社区卫生工作者 (CHWs) 提出一个理论模型,以促进任务转移的体育活动.
- 概述一个结构化和标准化的方法,用于CHWs在评估,查,咨询,并规定体育活动.
- 探索CHWs在减少LMIC公共卫生环境中的NCD负担中的作用.
主要方法:
- 开发一个理论模型,用于任务转移医疗保健责任.
- 确定和介绍与体力活动相关的五个关键任务.
- 讨论一个服务提供模式,将CHW纳入NCD预防策略.
主要成果:
- 为医疗保健工作者提出了一个框架,用于管理NCD预防的体育活动干预措施.
- 该模型强调了CHW主导的体育活动推广的标准化和结构.
- 将任务转移到CHW提供了一个可扩展的解决方案,用于在资源有限的环境中管理NCD.
结论:
- 扩大CHW在规定体育活动中的作用是对LMIC中NCD控制的可行策略.
- 有效实施需要标准化,持续培训和监督CHWs.
- 医疗保健中心可以成为国家非传染性疾病计划的组成部分,在资源较少的环境中提高社区健康结果.
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