在拉丁美洲,中风后康复的可用性和障碍
Alejandro Gonzalez-Aquines1, Julieta Rosales2, Ana Claudia De Souza3
1Faculty of Health Studies. University of Bradford, England. Richmond Rd, Bradford, BD7 1D.
概括
在拉丁美洲,获得中风后康复的机会受到公共卫生覆盖,人员和资金不足的限制. 公共设施提供的服务比私人设施少,突出需要改善接入和财政支持.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 脑卒中后康复对于恢复和改善生活质量至关重要.
- 在拉丁美洲,获得这些服务的情况并没有得到充分的记录.
- 了解当前的可用性和障碍对于改善服务至关重要.
研究的目的:
- 描述拉丁美洲中风后康复服务的可用性.
- 识别阻碍这些服务获取的障碍.
- 分析中风后康复的覆盖和融资情况.
主要方法:
- 在拉丁美洲国家进行了一项跨国调查.
- 该调查包括了关于国家和地方康复状况,覆盖范围和融资的部分.
- 创伤领导者参与了调查的开发和分发.
主要成果:
- 分析了来自17个国家的261个答案.
- 只有25.7%的受访者报告了国家临床指南.
- 设施,覆盖和人员有限是主要障碍,特别是在公共场合.
- 国家医疗保险是主要的融资来源,在门诊服务方面,自付费是很重要的.
结论:
- 在拉丁美洲,中风后康复的机会受到有限的公共卫生覆盖,劳动力短缺和财务障碍的限制.
- 公立医疗机构提供的康复服务比私人机构少.
- 制定共识指导方针,扩大覆盖范围和创新的交付模式对于促进公平获取至关重要.
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