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从卫生系统康复,准备和应对LMIC灾难中吸取的经验教训:范围审查
Justine Gosling1, Roxanne Maritz2, Ariane Laplante-Lévesque3
1Center for Rehabilitation in Gobal Health Systems, Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland. Justinegosling@hotmail.co.uk.
灾害压倒了低收入和中等收入国家 (LMICs) 的康复服务. 改善卫生系统的准备,包括培训和综合服务,对于有效应对灾害和康复至关重要.
科学领域:
- 公共卫生 公共卫生
- 灾难医学 灾难医学
- 康复科学 康复科学 康复科学
背景情况:
- 灾害造成创伤,增加了对康复和辅助技术的需求.
- 低收入和中等收入国家 (LMICs) 通常具有欠发达的卫生系统,努力满足这些需求.
- 灾难事件加剧了先前存在的未满足的康复需求.
研究的目的:
- 综合有关卫生系统准备和响应灾难后在LMICs的康复和辅助技术的证据.
- 确定改善康复和辅助技术整合在灾难准备和应对方面的建议.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 在CINAHL,Cochrane,PubMed和Scopus数据库 (2010-2022) 中进行了搜索.
- 包括的研究使用世界卫生组织的六个卫生系统构建块进行了分析.
主要成果:
- 在LMICs中,康复与灾难准备和应对不太整合.
- 大多数研究集中在服务提供,卫生工作人员和信息系统上;没有一个研究涉及融资或辅助技术.
- 关键建议包括早期多专业康复,辅助技术,心理支持,综合社区服务和专业培训.
结论:
- 在LMICs中,由于意识低和系统缺陷,康复未被充分纳入灾难准备.
- 缺乏证据阻碍了倡导和知识共享,以改善康复反应.
- 需要扩大宣传,将康复纳入灾难规划和应对.
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