通过服务提供,获取和培训指标,衡量马拉维的息护理整合:沃特卢联盟倡议
Fatia Kiyange1, Mackuline Atieno2, Emmanuel B K Luyirika1
1African Palliative Care Association, Kampala, Uganda.
BMC palliative care
|January 16, 2024
概括
沃特卢联盟倡议显著改善了马拉维的息护理准入,培训工作人员和增加服务. 这表明,即使在资源有限的非洲环境中,息护理的整合也是可以实现的.
科学领域:
- 全球健康 全球健康
- 抚慰性护理是一种缓解性护理.
- 加强卫生系统 加强卫生系统
背景情况:
- 在非洲,息护理的利用严重不足,只有不到5%的需要护理的人获得了它.
- 马拉维是一个低收入国家,在整合先进的息治疗和确保获得必要的止痛药物方面面临挑战.
- 沃特卢联盟倡议 (WCI) 旨在通过服务开发,员工培训和加强访问来解决这些差距.
研究的目的:
- 评估滑铁卢联盟倡议 (WCI) 对马拉维息护理整合的影响.
- 评估缓和护理服务提供,员工能力和药物获取方面的改进.
- 确定在资源有限的环境中扩大息护理的可行性.
主要方法:
- 在一年的时间内进行了跨部门评估.
- 来自马拉维南部13家医院的跨学科卫生专业人员接受了息护理培训.
- 用11个基于共识的指标来衡量息护理整合.
主要成果:
- 92%的医院在所有11个息护理指标上取得了显著进展.
- 专门的息护理设施增加了69%,训练有素的工作人员 (253名专业人员) 增加了220%.
- 患者获得息护理评估和服务的机会增加,同时维持获得阿片类止痛药的机会,并增加转诊至临终关怀.
结论:
- 在马拉维,WCI已经大大推进了息护理的整合.
- 在资源有限的环境中,通过持续的当地合作伙伴关系,增加息护理的准入是可行的.
- 息护理是全民健康覆盖和可持续发展目标3的重要组成部分.
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