探索支持非传染性疾病患者的方法:在COVID-19大流行期间,尼泊尔开展了一项试点研究
Hanako Iwashita1, Rabina Shrestha2, Uday Narayan Yadav3,4
1Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.
PLOS global public health
|July 19, 2024
概括
尼泊尔的COVID-19大流行严重影响了尼泊尔的非传染性疾病 (NCD) 患者,阻碍了日常医疗保健的获得. 远程医疗和社区计划对于未来的健康危机准备至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19的流行,全球医疗保健系统面临前所未有的压力.
- 这种菌株不成比例地影响了患有非传染性疾病 (NCD) 的个人,特别是在低收入国家.
- 在疫情期间,尼泊尔在NCD护理连续性方面遇到了重大挑战.
研究的目的:
- 了解尼泊尔NCD患者在COVID-19大流行期间的经历和挑战.
- 评估医疗保健服务的可用性,并确定影响医疗保健利用的因素.
- 在NCD管理中为未来的应急准备策略提供信息.
主要方法:
- 混合方法方法结合了电话调查和定性访谈.
- 对102名非传染性疾病患者的调查和对卡夫雷帕朗乔克和努瓦科特地区10名医疗保健提供者的采访.
- 使用多重对应分析,分层集群分析和分类树分析进行探索性数据分析.
主要成果:
- 虽然69.6%的参与者可以获得药物,但58.8%的人面临着获得常规医疗护理的挑战.
- 关键的障碍包括对感染的恐惧,农村地区药品不可用以及运输问题.
- 远程医疗和基于社区的宣传计划被确定为潜在的促进者.
结论:
- 在尼泊尔,COVID-19大流行严重恶化了NCD患者获得医疗保健的机会.
- 推对NCD患者实施远程医疗服务.
- 社区计划对于提高健康素养,促进健康行为,预防非传染性疾病和确保危机期间的护理连续性至关重要,特别是在资源有限的环境中.
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