农村卫生领域患者的息护理需求和息服务提案
Deidre Pretorius1, Lesley G Mahole
1Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg. deidre.pretorius@wits.ac.za.
概括
息护理 (PC) 尚未得到充分利用,特别是在南非农村地区. 这篇文章倡导改善农村息护理的准入,提出家庭医生主导的模式,以加强患者和家庭的服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 农村卫生 农村卫生
背景情况:
- 息护理 (PC) 服务不是广泛可用的,通常仅限于晚期疾病.
- 历史上由非政府组织提供,PC交付现在是南非省级的责任,遵循专门的政策.
- 尽管政策取得了进展,但西北省的农村地区缺乏足够的PC服务.
研究的目的:
- 突出南非农村社区对息护理 (PC) 的关键需求.
- 提出一个模型,以促进PC服务在服务不足的农村地区.
- 强调家庭医生在领导农村PC倡议中的作用.
主要方法:
- 关于南非息护理政策和服务提供的文献综述.
- 分析农村西北省PC可访问性差距的分析.
- 为农村提供PC提供概念模型的开发.
主要成果:
- 城市和农村环境之间的PC接入存在显著差异.
- 目前的省级PC战略并没有有效地接触到农村人口.
- 一个由家庭医生领导的模型为扩展PC服务提供了一个潜在的解决方案.
结论:
- 迫切需要将息治疗 (PC) 扩展到西北省的农村人口.
- 一个分散的,由家庭医生领导的模型可以改善资源有限的农村地区的PC可访问性和交付性.
- 政策实施必须优先考虑公平的PC服务分配,以解决农村健康差异.
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