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菲律宾痴呆症护理的现状和挑战:一个全面的审查
Veeda Michelle M Anlacan1,2,3, Pamela Danielle T Lanuza1, Anna Anjelica R Sanchez2,4
1Department of Neurosciences, Division of Adult Neurology, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Journal of Alzheimer's disease : JAD
|February 2, 2024
概括
菲律宾的痴呆症患病率正在上升,但研究和资源仍然有限. 关键的缺口包括当地数据不足,成本高,医疗保健资金和痴呆症护理人力不足.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 在低收入和中等收入国家,特别是菲律宾,痴呆症患病率上升.
- 全球痴呆症负担日益增加,需要了解区域护理环境.
研究的目的:
- 提供菲律宾痴呆症护理的全面概述.
- 确定当地痴呆症流行病学,研究,财政保障,诊断,药物治疗,人力资源和护理人员支持方面的关键差距.
主要方法:
- 范围审查遵循系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则.
- 在6个国际和2个本地数据库中进行了广泛的文献搜索,并补充了政府和非政府组织网站数据.
- 从最早的可用记录到2022年6月,包括英语或菲律宾语的数据,重点是痴呆症流行病学,研究,诊断,管理,人力资源和培训.
主要成果:
- 在菲律宾报告的痴呆症患病率很高.
- 在所有与痴呆相关的方面,研究成果较低.
- 由于医疗保健覆盖范围有限,依赖自付费,造成重大财务障碍,使诊断和治疗复杂化.
- 缺少痴呆症专家,专家与人口比例较低,人力资源和培训不足.
结论:
- 在菲律宾的痴呆症护理中发现的差距包括出版的当地数据的稀缺性.
- 高昂的医疗保健费用和不充分的医疗保健融资构成了重大挑战.
- 医疗保健人员和培训有限,进一步加剧了痴呆症护理缺口.
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