为非传染性疾病管理重新设计服务交付:通过阿根廷的共同创造过程评估需求和解决方案
Agustina Mazzoni1, Javier Roberti2, Marina Guglielmino2
1Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina. amazzoni@iecs.org.ar.
Global health, science and practice
|December 11, 2024
概括
在阿根廷门多萨实施了一种新的初级保健模式,解决了非传染性疾病 (NCD) 管理方面的挑战. 该研究确定了改善患者治疗结果和获得医疗保健所需的系统改进.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 主要护理医学 医疗保健
背景情况:
- 在阿根廷,减少非传染性疾病 (NCD) 的国家战略面临省级实施障碍.
- 门多萨的初级保健需要一个重新设计的模型,以有效地管理非传染性疾病.
研究的目的:
- 在阿根廷门多萨的初级保健水平设计一种新的NCD护理模型.
- 进行多式联运系统评估和共同设计NCD管理解决方案.
主要方法:
- 一项混合方法研究,包括护理模式评估,患者重点小组,人口调查,电子队列跟踪,利益相关者访谈,提供者知识测试和Delphi共识.
- 利用7个不同的组件来全面评估医疗保健系统.
主要成果:
- 确定了NCDs获得初级保健的重大障碍,包括长时间的等待时间和复杂的转诊流程,以及有限的心理健康服务.
- 调查数据 (N=1,190) 显示了高卫生系统接触但未满足的需求,特别是在低收入人群中.
- 医疗保健提供者报告说,在管理慢性疾病 (如高血压和糖尿病) 方面,资源有限和知识差距很大,尽管他们认为医疗质量很好.
结论:
- 阿根廷的初级保健系统有可能在NCD健康结果方面实现显著的系统级改进.
- 提出了一种创新的方法评估和共同设计方法,以加强初级保健提供.
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