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全球获得儿科和先天性心脏病综合护理

Dominique Vervoort^1,2, Hyerang Jin³, Frank Edwin^4,5

¹Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

CJC pediatric and congenital heart disease

|January 11, 2024

概括

儿科和先天性心脏病 (PCHD) 影响着全球许多儿童,但缺乏足够的关注. 改善医疗保健系统至关重要,以确保全球所有PCHD患者平等获得护理.

科学领域:

心脏病学心脏病学
全球健康全球健康
卫生系统研究卫生系统研究

背景情况:

儿科和先天性心脏病 (PCHD) 是一个重要的全球健康问题,每100名活产婴儿中就有1名受到影响.
在高收入国家,先天性心脏病 (CHD) 的存活率很高,但在低收入和中等收入国家,超过90%的患者缺乏必要的护理.
风湿性心脏病 (RHD) 是儿童和青少年中最常见的获得性心血管疾病,影响低收入和中等收入国家的数百万人.

研究的目的:

全球审查儿童和先天性心脏病 (PCHD) 和成人先天性心脏病 (ACHD) 护理的现状.
通过卫生系统框架分析PCHD和ACHD护理,包括劳动力,基础设施,融资,服务提供,信息管理和治理.
识别知识差距和改善全球获得PCHD和ACHD护理的机会.

主要方法:

一个全面的文献审查和卫生系统分析.
检查PCHD和ACHD在不同医疗机构的护理服务.
综合关于管理PCHD和ACHD的挑战和成功的数据.

主要成果:

在高收入国家和低收入和中等收入国家之间,PCHD和ACHD护理存在显著的差异.
在PCHD和ACHD管理中的关键挑战包括医疗保健基础设施不足,劳动力短缺和有限的融资.
现有的卫生系统对患有PCHD和ACHD的个体获得及时和有效的护理构成重大障碍.

结论:

迫切需要为PCHD和ACHD制定全球卫生议程优先级.
加强卫生系统对于改善全球PCHD和ACHD患者的护理准入和治疗结果至关重要.
进一步的研究对于解决知识差距和推动PCHD和ACHD管理方面的创新至关重要.

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