在低收入和中等收入国家实施质量改善计划的障碍:资源充足性
Debanjan Pain1,2, Emily MacDuffie3, Yehoda M Martei1
1Department of Medicine (Hematology-Oncology Division), University of Pennsylvania, Philadelphia, PA.
JCO global oncology
|October 24, 2024
概括
低收入和中等收入国家 (LMICs) 面临着改善癌症护理质量的重大障碍. 解决人员,时间,基础设施和资金方面的资源限制对于更好的癌症结果至关重要.
科学领域:
- 全球健康 全球健康
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低收入和中等收入国家 (LMICs) 的癌症死亡率不成比例地高.
- 目前在LMICs的癌症控制策略主要集中在治疗机会上,忽视了质量评估和改进.
- 需要识别和解决阻碍LMIC质量改善举措的资源障碍.
研究的目的:
- 检查阻碍开发和实施LMIC质量改进计划的特定资源障碍.
- 探索潜在的解决方案和在LMICs质量改善举措的成功例子.
主要方法:
- 一个非系统的审查现有的文学资源障碍在癌症护理提供在LMICs.
- 专注于四个主要的资源障碍:人员,时间,研究基础设施和资金.
主要成果:
- 确定了四个普遍的资源障碍:劳动力不足,质量改善时间有限,研究基础设施不足和资金缺口.
- 强调了来自博茨瓦纳,哥伦比亚,印度和卢旺达的成功质量改善举措.
结论:
- 投资人力资源,吸引实习生和患者,建立强大的数据系统 (癌症登记册,电子医疗记录),并优先为质量改进研究提供资金是关键的解决方案.
- 克服资源障碍对于提高癌症护理质量和减少LMIC死亡率至关重要.
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