关于非洲多病症的跨学科观点:开发一个扩展的概念模型.
Justin Dixon1,2, Ben Morton3,4, Misheck J Nkhata5
1The Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.
多病症,多种慢性疾病的存在,需要对非洲的特定环境有所了解. 研究适应了这一概念,以集中生活在多病症 (PLWMM) 的人及其社会背景.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 健康的社会决定因素
背景情况:
- 多病症,定义为同时发生的慢性疾病,构成了全球卫生系统的挑战.
- 该概念在低收入和中等收入环境,特别是非洲的实用性和定义仍在争论中.
- 现有的定义可能无法充分捕捉在不同非洲环境中生活在多种疾病中的复杂性.
研究的目的:
- 评估非洲卫生系统中多病症概念的实用性.
- 探索适应非洲环境的多病症概念的适应.
- 开发一个与非洲相关的多病症的上下文敏感描述.
主要方法:
- 这是一个跨学科的研究倡议,涉及10个非洲国家的60个合作伙伴.
- 一个为期三天的概念构建研讨会,利用接地理论原则.
- 研讨会讨论的主题编码和概念模型的代改进.
主要成果:
- 出现了三个关键主题:关注疾病,聚焦多病症患者 (PLWMM) 的需求,以及利益相关者的概念优先事项.
- 开发了一个扩展的概念模型.
- 该模型强调了多病症对个人,家庭,服务提供商和卫生系统的灾难性影响.
结论:
- 多病症的概念需要适应才能在非洲环境中有用和具有变革性.
- 修订后的概念应优先考虑PLWMM的经验和社会背景.
- 对环境敏感的方法对于应对非洲的多病症挑战至关重要.
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