实施印尼以社区为基础的慢性疾病管理计划 (Prolanis) 的挑战:范围审查
Raden M Febriyanti1, Aalbrecht Alby Irawan2, Nursanti Anggriani3
1Department of Biological Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, West Java, Indonesia.
AIMS public health
|October 23, 2025
概括
障碍阻碍了印度尼西亚基于社区的慢性疾病管理计划 (Prolanis). 解决资源限制和低参与度等问题对于改善非传染性疾病管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 全球健康 全球健康
背景情况:
- 非传染性疾病 (NCD) 是日益严重的全球卫生挑战,特别是在低收入和中等收入国家 (LMICs).
- 由于医疗保健资源有限和社会经济差异,印度尼西亚在非传染性疾病预防和管理方面面临重大障碍.
- 基于社区的慢性疾病管理计划 (Prolanis) 成立,旨在通过初级卫生中心加强非慢性疾病护理.
研究的目的:
- 识别和绘制印尼不同地区在实施普罗兰尼斯计划期间遇到的障碍.
- 为优化印尼和类似的LMIC环境中基于社区的NCD管理策略提供见解.
主要方法:
- 使用范围审查方法来系统地识别相关文献.
- 在Scopus,ScienceDirect和PubMed数据库中对2014年至2024年的出版物进行了全面的搜索.
- 对38篇选定的同行评审文章进行了主题分析,以分类实施障碍.
主要成果:
- 确定了五种主要的障碍类别:基础设施/人员,覆盖范围/参与/坚持,社会经济/成本,文化/健康素养和与流行病相关的干扰.
- 具体的挑战包括人力资源不足,供应不一致,地理接入问题,患者时间限制,以及缺乏计划福利的感知.
- 社会经济因素,如自付费用和运输费用,大大限制了患者的参与.
结论:
- 克服已识别的障碍对于提高普罗兰尼斯的有效性和改善印尼慢性病管理结果至关重要.
- 这些发现为在其他面临类似挑战的LMIC中实施和完善基于社区的NCD计划提供了宝贵的教训.
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