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全球提供沟护理:公平,结果和护理交付模式的发展
Benjamin B Massenburg1, Craig B Birgfeld2, Anne V Hing3
1Division of Plastic Surgery, Department of Surgery, University of California San Diego, San Diego, CA, USA; Division of Plastic Surgery, Department of Surgery, Rady Children's Hospital, San Diego, CA, USA.
Oral and maxillofacial surgery clinics of North America
|March 9, 2026
概括
在低收入和中等收入国家,由于资源有限,裂口唇护理具有挑战性. 可持续的,以伙伴关系为基础的方法对于建立当地能力和在裂治疗中实现全球健康公平至关重要.
科学领域:
- 全球健康 全球健康
- 遗传性疾病 遗传性疾病
- 手术护理 手术护理
背景情况:
- 唇裂是一种普遍的先天性疾病,不成比例地影响低收入和中等收入国家 (LMICs).
- 低至中产国家/地区面临全面裂护理的重大障碍,包括劳动力短缺,基础设施不足和资金限制.
- 现有的护理模式正在从短期任务转变为可持续的能力建设伙伴关系.
研究的目的:
- 分析在全球范围内提供裂口唇护理方面的挑战和不断发展的策略.
- 突出向可持续的,局部集成的护理模式的过渡.
- 强调跨学科教育和政策制定对于公平的裂口护理的重要性.
主要方法:
- 在各种经济环境中对裂唇和 palatal 护理现有模式的审查.
- 分析LMIC中综合护理的障碍和促进因素.
- 检查向可持续,基于伙伴关系的方法和当地能力建设的转变.
主要成果:
- 高收入国家提供标准化,多学科的裂护理,与LMICs资源有限的环境形成鲜明对比.
- 在LMICs的障碍包括医疗保健专业人员不足,基础设施不佳和资金赤字.
- 可持续模式的重点是当地能力建设,跨学科教育和融入现有卫生系统.
结论:
- 为了实现公平的全球裂口唇护理,需要可持续的,以当地为导向的战略.
- 解决耻辱感,提高认识,促进以团队为基础的护理对于改善患者的治疗结果至关重要.
- 长期支持,政策推进和强大的培训框架对于将裂服务纳入全球卫生系统至关重要.
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