18岁的脏护理转型:印度面临的挑战和实际解决方案
Niveditha Girimaji1, Priya Pais1, Arpana Iyengar1
1Department of Pediatric Nephrology, St. John's Medical College, Bengaluru, Karnataka, India.
Indian journal of nephrology
|October 26, 2023
概括
对于患有脏疾病的青少年和年轻成年人 (AYA) 来说,医疗保健过渡 (HCT) 在印度至关重要,但具有挑战性. 本研究探讨了HCT的需求,挑战和在低收入和中等收入国家成功实施的实际策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 医疗保健转型 (HCT) 是一个有计划的过程,适用于从儿科到成人医疗保健的青少年和年轻人 (AYA).
- 自2011年以来建立的共识突出显示,需要在患有脏疾病的AYA中使用HCT.
- 在低收入和中等收入国家 (LMICs),特别是印度,HCT的成功实施仍然有限.
研究的目的:
- 讨论印度背景下对患有脏疾病的AYA进行HCT的必要性.
- 确定在印度的HCT过程中遇到的挑战.
- 为印度脏护理中HCT提出推模型和实际建议.
主要方法:
- 审查现有文献和关于HCT的共识声明.
- 分析印度的利益相关者参与 (AYA,家长,提供者,卫生系统).
- 专注于针对印度医疗保健环境的独特挑战和定制解决方案.
主要成果:
- HCT需要多方利益相关方的方法,包括AYA,家庭,医疗保健提供者和医疗保健系统.
- 在印度和类似的LMIC中,成功的HCT存在重大障碍.
- 印度面临的具体挑战需要适应环境的过渡模式.
结论:
- 在印度实施有效的HCT计划对于患有脏疾病的AYA至关重要.
- 应对独特的挑战需要共同努力和量身定制的战略.
- 提供了实用建议,以促进在印度医疗保健系统中成功实施HCT.
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