对息护理实施的政策相关障碍:一种定性描述性研究
Atsede Aregay1,2, Margaret O'Connor3, Jill Stow4
1Health and Nursing Sciences, University of Agder, Høvågveien 140, Kristiansand, 4604, Norway.
Palliative care and social practice
|September 14, 2023
概括
埃塞俄比亚有一个国家缓和护理指南,但提供是有限的. 政策障碍,包括政府缺乏关注和整合,阻碍了在农村和区域环境中获得基本的息护理服务.
科学领域:
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
- 抚慰性护理是一种缓解性护理.
背景情况:
- 埃塞俄比亚有一个国家缓和护理指南和政策认可.
- 在区域公共医院和初级医疗保健单位,息护理服务尚未得到充分实现.
研究的目的:
- 探索在埃塞俄比亚农村和地区医疗保健环境中提供息护理服务的政策障碍.
- 专注于主要为这些人群提供服务的初级医疗保健单位内的障碍.
主要方法:
- 在埃塞俄比亚农村地区进行的面对面采访.
- 来自初级,二级和三级医疗保健水平的42名参与者,包括政策制定者,药剂师,医生,卫生官员和护士.
- 用于分析面试数据的专题分析.
主要成果:
- 确定了关键的政策障碍:缺乏政府优先级,专业人士对国家计划的认识较低,以及对医疗保健系统和预算的整合不足.
- 息护理服务主要局限于艾滋病毒患者,往往依赖于不可持续的外部支持.
- 政府的关注和支持有限,导致有需要的人无法获得足够的息护理.
结论:
- 政策优先级和政府重点对于有效的息护理提供至关重要.
- 建议将息治疗整合到所有医疗保健水平,特别是初级保健和健康扩展计划中.
- 这种整合将使健康推广工作者能够支持农村地区的数百万人.
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