复杂的内部和外部环境相互作用决定了在小岛屿发展中国家开发初级保健登记册的可行性和准备程度:连续混合方法研究研究
Natasha P Sobers1,2, Joeleita Agard2, Jacqueline Campbell2
1George Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, University of the West Indies, Bridgetown, Barbados.
在小岛屿发展中国家 (SIDS) 开发卫生登记处面临着巨大的人力资源和基础设施障碍. 加强区域合作对于成功实施非传染性疾病登记册至关重要.
科学领域:
- 卫生系统研究 卫生系统研究
- 实施科学 实施科学
- 公共卫生政策 公共卫生政策
背景情况:
- 小岛屿发展中国家 (SIDS) 在制定卫生登记册方面面临着独特的挑战.
- 糖尿病和高血压等非传染性疾病 (NCD) 是SIDS中注册表开发的首要任务.
- 了解实施因素对于在资源有限的环境中成功开发注册表至关重要.
研究的目的:
- 评估SIDS发展卫生登记册的可行性和准备情况.
- 确定影响SIDS卫生系统内NCD登记册实施的因素.
- 为克服注册表实施障碍的战略提供信息.
主要方法:
- 在线定量调查和焦点小组与四个SIDS的卫生经理进行.
- 实施研究综合框架 (CFIR) 指导了调查和重点小组工具的开发.
- 专题内容分析和系统原型方法用于数据合成.
主要成果:
- 糖尿病和高血压被确定为注册表开发的优先非传染性疾病.
- 受访者优先考虑患者护理监测,而不是疾病负担或结果监测.
- 关键的促进因素包括任务调整和外部支持,而人力资源,资金和信息系统不足是主要障碍.
结论:
- 基础设施和人力资源能力的局限性对小岛国中NCD注册表的最佳实施构成重大威胁.
- 建议加强国家间合作和加强区域支持,以应对这些挑战.
- 解决人力和信息基础设施的系统缺陷对于注册表的成功至关重要.
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