手术先天异常的全球挑战:证据,模型和经验教训
Salimah R Walani1, Norgrove Penny2, Doreen Nakku3
1MiracleFeet Chapel Hill, NC, United States.
Seminars in pediatric surgery
|November 25, 2023
概括
在低收入国家解决先天性异常需要克服障碍,例如有限的手术护理和专业知识. 全球合作和创新的护理模式对于改善出生缺陷儿童的结果至关重要.
科学领域:
- 儿科手术 儿科手术
- 全球健康 全球健康
- 遗传异常是一种先天性异常.
背景情况:
- 先天性异常 (结构性出生缺陷) 需要为儿童提供外科子专业护理.
- 超过90%的患有先天性异常的婴儿出生在低收入和中等收入国家 (LMICs),外科手术的机会有限.
- 障碍包括缺乏早期识别,注册,训练有素的专业知识,基础设施,贫困和社会耻辱.
研究的目的:
- 突出全球在治疗LMICs先天性异常的挑战.
- 讨论成功的模型和战略,以扩大外科护理服务.
- 强调需要为儿科外科护理制定综合的国家卫生政策.
主要方法:
- 对先天性异常的儿科外科护理全球挑战的审查.
- 分析成功的干预和护理模式,包括注册程序和专业治疗.
- 审查非政府组织和国际卫生机构的作用.
主要成果:
- 人们越来越认识到扩大对先天性异常服务的优先事项.
- 成功的模式包括注册程序 (例如,拉丁美洲),庞塞蒂方法用于脚,以及非政府组织支持的倡议 (例如, oro-facial 裂).
- 专科医院提供必要的子专家专业知识.
结论:
- 有效的合作伙伴关系和创新的护理分配对于改善医疗接入至关重要.
- 制定与卫生政策相结合的国家计划对于可持续的医疗保健至关重要.
- 解决先天性异常需要采取多方面的方法,重点关注LMICs的基础设施,专业知识和可访问性.
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