中等收入国家的幸存者护理:使用乳腺癌作为模型为哥伦比亚制定指导方针
Maylin Peñaloza1,2, Oswaldo Sánchez1, María A García1
1Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia.
JCO global oncology
|September 28, 2023
概括
为低收入和中等收入国家 (LMIC) 制定幸存者护理指南至关重要. 这项研究提出了一种基于风险的方法,将瘤专家和家庭医生整合起来,以改善LMIC癌症患者的护理.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 增加癌症存活率需要强大的生存护理,特别是在低收入和中等收入国家 (LMIC).
- 现有的幸存者指导方针,通常是在高收入国家开发的,由于劳动力短缺和护理碎片化,在LMIC国家面临挑战.
- 哥伦比亚的癌症护理是分散的,幸存者专注于复发监测,缺乏支持性护理和公平的获取.
研究的目的:
- 为中等收入国家制定针对癌症幸存者护理的新指南.
- 提出一种基于风险的方法,整合瘤专家和家庭医生.
- 在资源有限的环境中解决当前幸存者护理模式的局限性.
主要方法:
- 采用了三个阶段的开发过程.
- 为疾病控制制定了建议 (以疾病为中心的审查).
- 评估了对生活质量和护理交付模式的干预措施 (以患者为中心和交付模式审查).
主要成果:
- 用一个乳腺癌框架来制定指南.
- 拟议的指导方针整合了专家和初级保健角色.
- 这种方法强调了为幸存者护理制定基于风险的策略.
结论:
- 开发的指南为中等收入国家提供了适合的框架.
- 这种模式旨在在LMIC地区标准化和改进癌症幸存者护理.
- 不同医疗保健专业人员的整合是全面的幸存者管理的关键.
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