超越高收入模式:为LMICs提供有效的息护理
1Department of Cardiac Surgery, University Hospital Basel, Petersgraben 4, Basel, 4031, Switzerland. islam.salikhanov@usb.ch.
概括
数以百万计的人需要缓和性护理,特别是在发展中国家,获得缓和性护理的机会有限. 本评论提出了包括护理人员支持和移动推广在内的实际策略,以改善全球终身护理.
科学领域:
- 全球健康 全球健康
- 抚慰性护理是一种缓解性护理.
- 卫生系统研究 卫生系统研究
背景情况:
- 全球6000万人需要息治疗,其中80%居住在低收入和中等收入国家 (LMICs).
- 尽管预计到2060年需求将翻一番,但在LMICs中获得息护理的机会非常低,为14%.
- 现有的高收入息护理模式往往不适合资源有限的环境.
研究的目的:
- 概述可行的,基于证据的战略,以改善资源有限的环境中的息护理.
- 提出适应发展中国家特定文化和资源现实的解决方案.
- 利用哈萨克斯坦在息护理发展方面的经验.
主要方法:
- 基于现有文献和专家经验的评论.
- 确定三个关键策略:家庭护理人员赋权,移动外展和基本阿片类药物获取.
- 强调政治承诺,卫生政策整合,劳动力发展和监管简化.
主要成果:
- 为了改善息治疗,政治承诺和融入卫生政策至关重要.
- 劳动力能力建设和简化监管是可持续系统的重要组成部分.
- 国际合作可以支持在LMICs的息护理发展.
结论:
- 优先考虑家庭照顾者赋权,移动外展和基本阿片类药物接入提供了一个实用的方法.
- 这些策略可以减少痛苦,并维护生命末期患者的尊严.
- 发展中国家需要适应的,可持续的息护理解决方案来满足日益增长的需求.
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