安德斯试验和HEARTS模型的集成在秘鲁普诺,秘鲁
Gonzalo M Cuentas-Canal1, Lucy Cordova-Ascona2, Lisa de Las Fuentes3
1EsSalud Hospital Base III Puno Peru EsSalud Hospital Base III, Puno, Peru.
概括
秘鲁的初级医疗保健设施在管理高血压和糖尿病方面的准备方面存在重大差距. 像ANDES这样的干预措施可以帮助在资源有限的环境中实施HEARTS战略.
科学领域:
- 公共卫生 公共卫生
- 控制和控制非传染性疾病
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- 泛美卫生组织的HEARTS倡议旨在改善初级保健中的高血压和糖尿病管理.
- 秘鲁普诺的ANDES试验提供了 HEARTS在高海拔地区实施的形成性和过程性证据.
研究的目的:
- 评估卫生设施的准备和患者对高血压和糖尿病控制的坚持. 秘鲁普诺.
- 评估ANDES试验与HEARTS战略的协调性.
主要方法:
- 在414个卫生设施中使用了世界卫生组织适应的服务可用性和准备性评估 (SARA-NCD).
- 与医疗保健专业人员进行了55次半结构面试.
- 在204名高血压患者中应用了Hill-Bone坚持度表.
主要成果:
- 设施准备程度较低:高血压28%,糖尿病29%.
- 较低级别的设施 (哨所,基本卫生中心) 的准备程度明显较低.
- 确定的障碍包括有限的优先级,弱的供应链和不足的培训;患者的坚持得分也很低.
结论:
- 严重的准备缺口和系统性障碍阻碍了安第斯初级保健中的高血压和糖尿病管理.
- 社区卫生工作者支持的干预措施,如ANDES,可以帮助在资源有限的初级保健机构采用HEARTS战略.
关键词:
在高血压的高血压.秘鲁 秘鲁 秘鲁 秘鲁 是一个心血管疾病心血管疾病社区卫生工作者社区卫生工作者在糖尿病中,糖尿病是血糖性糖尿病.卫生系统 卫生系统实施科学 实施科学初级医疗保健是一项主要的医疗保健服务.更多相关视频
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