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改变面孔,改变未来:CLAPP人道主义裂计划模型用于低资源环境中的裂护理
Muhammad Daiem1,2,3, Ghulam Q Fayyaz1, Hanan Raja3
1Department of Plastic Surgery, CLAPP Hospital, Lahore, Pakistan.
The Journal of craniofacial surgery
|September 1, 2025
概括
巴基斯坦口腔裂协会 (CLAPP) 为贫困地区提供可持续,经济高效的口腔裂护理模式. 这项计划为成千上万的人提供全面的治疗,
科学领域:
- 全球健康
- 遗传异常
- 提供外科护理
背景情况:
- 唇裂 (CLP) 是一种常见的先天性异常,不成比例地影响LMIC.
- 现有的裂口护理模式往往依赖于不可持续的国际任务.
- 在资源有限的环境中,需要以当地为导向的全面裂护理解决方案.
研究的目的:
- 描述CLAPP人道主义计划的操作结构,临床方案和结果.
- 提供一个可复制的框架,用于LMIC的全面裂护理.
- 评估当地管理的裂护理模式的可持续性和成本效益.
主要方法:
- 使用移动的外科基础设施和中心和分支的策略来接触患者.
- 实施标准化的临床工作流程,包括手术前查和结构化的后续检查.
- 专注于当地培训和劳动力整合,避免依赖国际团队和当地医院.
主要成果:
- 自2004年以来,在巴基斯坦和阿富汗开展了205项手术项目,治疗了25028名患者.
- 实现了高的程序量 (平均) 只有121次手术,并发症率很低.
- 证明了对初级和二级裂变形的全面覆盖,平均每名患者的费用为400美元.
结论:
- 该模型提供了一个可持续的,成本高效的,临床有效的方法来治疗LMIC的裂.
- 地方所有权,培训和移动基础设施是克服传统裂计划局限性的关键.
- 这种计划模式可以在面临类似挑战的其他地区扩展.
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