中东和北非的保守性管理:态度,实践和实施障碍
Sahar H Koubar1,2, Taha Hatab3, Farah Abdul Razzak4
1Division of Nephrology and Hypertension, University of Minnesota, Minneapolis, Minnesota, USA.
Kidney international reports
|April 30, 2025
概括
保守性管理 (CKM) 意识在MENA地区很高,但实施却很低. 财政,资源和培训障碍阻碍了功能衰竭患者获得CKM的机会.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 保守性管理 (CKM) 在全球范围内是不发达的,特别是在低收入国家.
- 对于CKM来说,存在着可访问性挑战,特别是在中东和北非 (MENA) 地区.
研究的目的:
- 调查脏病学家对CKM的看法.
- 确定中东和北非地区对CKM实施的障碍.
主要方法:
- 通过他们的专业协会联系的脏病学家分发了一份在线调查.
- 根据世界银行的收入分类来对答案进行分类:高收入,中等收入和低收入国家.
主要成果:
- 分析了336项调查,76%的参与者来自中等收入国家.
- 80%的科医生知道CKM,65%接受它为功能衰竭,但只有20%始终提供它.
- 主要障碍包括财务 (37.7%) 和资源限制 (32.7%),文化和宗教因素也被指出.
结论:
- 中东和北非地区的CKM意识很大,但实际实施是有限的.
- 财政,资源和培训赤字是CKM的主要障碍.
- 进一步的区域研究和政策制定对于提高CKM可访问性至关重要.
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