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在资源有限的环境中提高先天性心脏护理的质量

Shazia Mohsin¹, Babar Hasan¹, Bistra Zheleva²

¹Division of Cardiothoracic Sciences, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan.

Pediatric cardiology

|December 20, 2023

概括

超过90%的患有先天性心脏病 (CHD) 的儿童出生在资源较低的环境中. 本次审查提出了质量改进 (QI) 框架,以加强这些领域的护理和减少死亡.

科学领域:

儿童心脏病学儿童心脏病学
全球健康全球健康
改善医疗保健质量改善医疗保健质量

背景情况:

先天性心脏病 (CHD) 不成比例地影响低收入和中等收入国家 (LMICs) 的儿童,超过90%的儿童出生在这些国家.
在LMICs的资源限制和分散的卫生系统导致CHD患者的护理质量 (QoC) 低下,导致不良结果.

研究的目的:

审查实施有效的质量改进 (QI) 流程的常见障碍,以在LMIC中为CHD护理.
为资源有限的环境量身定制的QI框架提出建议,以改善患者的治疗结果和降低死亡率.

主要方法:

文献综述检查在LMICs内QI实施的挑战.
在LMIC环境中分析成功的QI举措.

主要成果:

确定了LMICs中QI的重大障碍,包括资源稀缺和系统性问题.
突出了现有QI计划中的成功策略.

结论:

尽管面临挑战,但一个实用的QI框架可以显著改善LMIC中CHD护理和结果.
拟议的框架强调简单,有效的措施,协作努力和领导对QoC的承诺.

关键词:

遗传性心脏病 (CHD) 是一种先天性心脏病.低至中等收入国家 (LMIC)质量改进 (QI) 是指质量的提高.

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