哥伦比亚心血管风险管理的感知障碍和促进因素:RE-HOPE研究的定性分析
在PubMed上查看摘要
概括
此摘要是机器生成的。改善低收入和中等收入国家的高血压控制需要解决系统性问题. 加强管理和跨部门合作是克服高血压管理障碍的关键.
科学领域
- 公共卫生
- 卫生系统研究
- 心血管疾病管理
背景情况
- 低服药和高血压控制在低收入和中等收入国家 (LMICs) 面临重大公共卫生挑战.
- 医疗保健系统和患者相关的障碍阻碍了高血压的有效管理.
研究的目的
- 确定哥伦比亚桑坦德的卫生系统利益相关者对高血压管理的感知障碍和促进因素.
- 探讨利益相关者的观点,以改善哥伦比亚医疗保健系统中的高血压控制策略.
主要方法
- 使用与卫生系统利益相关者的五个重点小组进行定性,现象学和解释性研究.
- 在2022年12月至2023年2月期间收集的数据使用NVivo软件进行记录,转录和分析.
主要成果
- 确定了七类障碍和促进因素:战略,资源,获取,风险评估,跨部门合作,表达和管理.
- 表达和管理是主要障碍,表明做法存在缺陷,目标不清楚,与公共政策不一致.
结论
- 除了医疗保健提供者之外的多部门行动对于改善LMIC的高血压控制至关重要.
- 加强初级医疗保健,解决社会决定因素,加强管理和获取是有效管理高血压的关键优先事项.
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