东地中海地区的息护理需求和有效应对的人力资源需求
Eric L Krakauer1,2, Xiaoxiao J Kwete3, Maryam Rassouli4
1Program in Global Palliative Care, Harvard Medical School, Boston, Massachusetts, United States of America.
PLOS global public health
|November 3, 2023
概括
地中海东部地区的数百万人需要息治疗,但获得治疗的机会有限. 本研究量化了对基本息护理服务所需的医疗保健工作人员的需求和估计.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息护理的整合是道德上的必要条件,但在东地中海地区 (EaMReg) 缺乏.
- 对于区域卫生规划者来说,有关息护理需求和成本的数据至关重要.
- 数以百万计的人患有需要息治疗的疾病,这突显了关键的服务缺口.
研究的目的:
- 估计2015年EaMReg国家的息护理需求和获取水平.
- 计算必要的医疗保健工作人员,包括临床和非临床人员,以提供必要的息护理.
- 根据EaMReg.提供数据来设计和成本调节护理服务,以适应EaMReg.
主要方法:
- 利用了"柳叶刀"临床医学杂志委员会关于息治疗和缓解疼痛的数据.
- 估计了在EaMReg国家需要息护理的人数及其获取 (2015年).
- 计算了每10万人口所需的全职等价 (FTE) 工作人员 (医生,护士,社会工作者,社区卫生工作者) 的数量.
主要成果:
- 2015年,EaMReg地区有320万人需要息治疗,大多数人无法获得.
- 常见的痛苦包括疼痛,疲劳,软弱,焦虑和抑郁情绪.
- 估计FTE需求:每10万人口中5.411.1社区卫生工作者,1.01.9医生,2.24.3护士和1.42.9社会工作者.
结论:
- 在EaMReg中存在着大量未满足的息护理需求.
- 量化劳动力需求为服务开发和资源分配提供了基础.
- 研究数据支持设计具有成本效益的减缓护理干预措施,以适应区域需求.
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