在资源有限的环境中,利益相关者发现的息护理的挑战:哈萨克斯坦的一项多区域研究
Islam Salikhanov1, Savinova Yuliya2, Monica Aceti3
1University of Basel, Department of Clinical Research, Davidsbodenstrasse 28, Basel 4056, Switzerland.
Journal of cancer policy
|March 21, 2024
概括
哈萨克斯坦面临着重大的息护理挑战,包括高成本和有限的服务. 解决这些问题需要协调利益相关者参与,以获得更好的患者和家庭支持.
科学领域:
- 息护理研究 息护理研究
- 医疗保健系统分析 医疗保健系统分析
- 公共卫生政策 公共卫生政策
背景情况:
- 哈萨克斯坦需要为超过10万名患者提供息护理,影响包括家庭护理人员在内的超过20万个人.
- 医疗保健资源有限 (45名医生,101名护士为1925张床位) 挑战了足够的息护理服务的发展.
- 这项研究旨在确定挑战,并为在资源有限的环境中开发息治疗提供建议.
研究的目的:
- 探索哈萨克斯坦息护理利益相关者面临的挑战.
- 为决策者提供基于证据的建议,以加强息护理服务.
主要方法:
- 使用深度采访进行的横截面描述性研究.
- 收集了来自五个地区29个息利益相关者 (12名家庭护理人员,12名医疗保健专业人员,5名管理人员) 的数据.
- 对字面采访成绩单的内容分析,以确定需求和挑战.
主要成果:
- 确定了七个主要挑战:高额自费支出,缺乏移动息护理,阿片类药物短缺,不充分的正规教育,家庭护理人员培训不足,公众意识低,国家支持有限.
- 高昂的自付费用是患者和家人面临的重大障碍.
- 像阿片类药物这样的必需药物的严重短缺阻碍了有效的疼痛管理.
结论:
- 国家息护理战略需要所有利益相关者的协调参与.
- 针对性和量身定制的利益相关者参与对于有效的息护理发展至关重要.
- 建议侧重于一种协作方法来克服已识别的挑战.
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