低收入国家目前的出血障碍诊断
Deepak K Mishra1,2, Asish Rath1, Mayur Parihar1,3
1Department of Laboratory Hematology, Tata Medical Center, Kolkata, India.
International journal of laboratory hematology
|October 11, 2024
概括
在低收入和中低收入国家 (LMICs) 中,诊断和治疗出血障碍仍然是一个重大挑战. 解决基础设施,意识和财务障碍对于改善患者的治疗结果至关重要.
科学领域:
- 血液学 血液学 血液学
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
背景情况:
- 在全球范围内,在出血障碍诊断和治疗方面取得了重大进展.
- 然而,这些进步在低收入和中低收入国家 (LMICs) 无法平等获得.
- 由于重点关注传染病和恶性瘤,低低收入国家经常将出血障碍视为不优先事项.
研究的目的:
- 突出在LMICs中诊断出血乱的挑战.
- 确定高收入国家和LMICs之间的差异.
- 为弥合这一诊断和治疗差距提出战略建议.
主要方法:
- 这项研究是对LMICs中出血障碍诊断和治疗的现有文献和数据的审查.
- 它分析了包括财务限制,医疗保健基础设施不足,缺乏患者登记册和有限的认识在内的挑战.
- 它还考虑了熟练实验室人员和基础设施的缺口.
主要成果:
- 在LMICs中,大约75%的遗传性出血障碍患者仍未被诊断出来.
- 主要障碍包括财政局限性,医疗保健基础设施差,医疗保健专业人员,公众和政策制定者意识不足.
- 缺乏专门的实验室设施和训练有素的人员进一步加剧了诊断挑战.
结论:
- 需要患者,医疗专业人员和政策制定者的紧急和协作行动,以解决LMICs中出血障碍的诊断和治疗差距.
- 战略必须侧重于改善基础设施,提高意识,并确保平等获得护理.
- 世界血友病联合会 (WFH) 发挥着作用,但更广泛的利益相关者参与对于可持续改善至关重要.
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