一个将息治疗纳入东地中海卫生系统的模型,采用初级保健方法
Nahla Gafer1, Nuhamin Gebre2, Ismat Jabeen3
1Head Palliative Care Unit, Khartoum Oncology Hospital, King's College London, Cairo, Egypt.
BMC palliative care
|November 15, 2024
概括
在东地中海地区 (EMR),将息治疗纳入初级卫生保健 (PHC) 需要一个量身定制的模型. 这种模式强调政策,药物获取,教育,社区参与和数字健康,以提供可访问,负担得起的服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 息护理研究 息护理研究
背景情况:
- 东地中海地区 (EMR) 的息护理需求很高,但服务面临着重大可访问性和可负担性挑战.
- 世界卫生组织 (WHO) 建议将息治疗与初级卫生保健 (PHC) 整合起来,以改善服务提供.
- 现有的息护理模式需要适应EMR国家的独特环境.
研究的目的:
- 在EMR中开发和验证一个特定的背景模型,将息治疗纳入初级卫生保健.
- 确定在该地区有效提供息护理的基本组成部分和实施要求.
主要方法:
- 采用了多种方法的研究方法,包括文献审查,政策分析和通过德尔菲方法达成专家共识.
- 一个六维的框架 (政策,药物可用性,教育,社区融合,服务提供,研究) 引导了模型的开发.
- 基于证据的解决方案是针对每个维度的EMR环境量身定制的.
主要成果:
- 关键要素包括卫生部的监督,必要药物的可用性 (例如,吗啡) 和提供者教育.
- 通过志愿者和非政府组织,社区参与以及强有力的监测和评估至关重要.
- 该模型利用社区卫生工作者,特别是护士,并整合了数字健康技术.
结论:
- 拟议的模型提供了一个框架,以加强在EMR中获得可用和负担得起的息护理服务的机会.
- 它为各国提供了一个基础,根据其特定的优势和机会,适应和实施息护理整合.
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