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设施准备好在九个低收入国家提供分散的基本非传染性疾病干预-Plus (PEN-Plus) 护理
Laura Drown1, Alma J Adler1,2, Devashri Salvi1
1Department of Medicine, Center for Integration Science in Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
PLOS global public health
|April 24, 2025
概括
潘普拉斯战略改善了在低收入国家治疗严重慢性非传染性疾病 (SC-NCDs) 的机会. 基线准备情况各不相同,对1型糖尿病和状细胞病的基本药物和设备存在重大缺口.
科学领域:
- 全球健康 全球健康
- 非传染性疾病管理
- 加强医疗保健系统 加强医疗保健系统
背景情况:
- 严重的慢性非传染性疾病 (SC-NCDs) 在低收入和中低收入国家 (LLMICs) 中对可避免的疾病负担作出了重大贡献.
- 获得SC-NCD护理的机会往往仅限于城市,高等机构,造成了严重的医疗保健差异.
- 基本非传染性疾病干预方案-Plus (PEN-Plus) 战略旨在分散和整合对SC-NCD的护理.
研究的目的:
- 评估LLMIC医疗保健设施的基线准备情况,以提供对SC-NCDs的综合护理.
- 根据PEN-Plus倡议,评估基础设施,设备和药物的可用性,用于优先级的SC-NCD.
- 确定护理准备的具体差距,以告知实施战略.
主要方法:
- 在9个LLMIC启动PEN-Plus计划的16个设施中进行了横截面调查.
- 收集的数据包括设施基础设施,诊断和管理设备的可用性以及必需药物.
- 分析涉及描述性统计数据和总结指数得分,以评估对1型糖尿病,状细胞病和严重心脏病的准备.
主要成果:
- 设施通常报告了足够的基础设施,但对SC-NCD护理的准备程度各不相同.
- 对于1型糖尿病来说,基本设备和用品的可用性特别低.
- 1型糖尿病的药物可用性最高 (75%),但状细胞病 (39%) 和严重的心脏病 (49%) 存在显著差距,包括关键药物.
结论:
- 定制的,特定于环境的实施策略对于解决LLMIC中SC-NCD护理的准备差距至关重要.
- 基线调查结果提供了必要的数据,以指导 PEN-Plus 诊所的持续实施和评估.
- 解决基本药品和设备的短缺问题对于有效执行PEN-Plus计划至关重要.
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