发展中国家和非洲国家卫生专业人员和患者炎症性肠病在线网络指南》。

Japanese journal of gastroenterology and hepatology Pub Date : 2020-01-01 Epub Date: 2020-03-11
A M Herman, A T Hawkins, S D James, B R Ballard, A E M'Koma
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引用次数: 0

摘要

导言1.1.炎症性肠病(IBD)在全球范围内肆无忌惮地发展,成为一种不谨慎的灾难,尤其是在发展中国家,它是一种区域性的两面性疾病。人们发现,发展中国家适应性强的西方文化和快速城市化的生活方式与这种发病率不断上升的趋势有关。对主要趋势和不确定性如何在未来几十年引领世界进行明显的非保密战略挑战评估,以帮助发展中国家进行长期规划。医疗保健专业人员面临着 IBD 诊断、预后和监测管理实验室资源有限且设备不完善的问题。发展中国家的医生/医疗保健提供者对肠道疾病的了解有限,这是一项艰巨而不容置疑的挑战。随着先进通信技术的出现,互联网提供了多种多样、内容充实、易于获取的教育资源,与传统的知识获取模式相比,这些资源更节省时间和成本。方法:1.2.我们根据 PRISMA-P(综述和荟萃分析的首选报告项目)进行了文献检索,并在 PubMed(MEDLINE 数据库)中进行了搜索,以确定和选择与基于网络的 IBD 教育装备相关的同行评审文章:1.3.在发展中国家,当地培训的医生对 IBD 的了解有限。大多数情况下,IBD 没有被纳入他们的培训核心课程,而且在这些国家,这一领域的研究也很有限。基层医疗机构和转诊机构的医疗方法往往缺乏必要的定期临床指导和实验室评估,无法对患者进行监测。此外,不断增加的治疗费用也给医疗系统带来了额外负担。昂贵的药物生物仿制药和生物制剂/药物、新的治疗目标以及患者健康生活质量和护理方面的新质量指标都是巨大的挑战,此外,大多数医疗机构都可能会错过 IBD 的早期表现。结论:1.4.我们在此总结了一个基于网络的 IBD 相关教育资源在线电子学习指南,以帮助世界各地的医生、医护人员和患者,尤其是发展中国家的医生、医护人员和患者,因为这些国家缺乏医疗监测系统以及可靠、统一的登记册和数据库,因此流行病学监测研究有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inflammatory Bowel Disease On-Line Web-Based Guide to Health Professionals and Patients in Developing and African Nations.

Introduction: 1.1.Inflammatory Bowel Disease (IBD) is recklessly evolving worldwide as incautious disaster, especially in developing nations as a regional duplicitous emergence disease. It has come to light that adaptive Western culture, rapid urbanization lifestyle in the developing nations has been seen to be associated with this increasing trend incidence. Apparent unclassified strategic challenge assessment of how key trends and uncertainties might lead the world over the next decades to help developing nations and plan for the long term. Healthcare professionals are faced with limited resource and unequipped laboratories for IBD diagnostics, prognostics and monitoring management. Limited knowledge on IBD among developing nation's physician's/healthcare providers is painstaking and indisputable challenge. With the emergence of advanced communications technology, the internet offers diverse, substantial, easily accessible, and educational resources that are more time- and cost-efficient than conventional modes of knowledge acquisition. An On-Line Web-Based Resources about IBD, as a guide would greatly assist health professionals and patients.

Methods: 1.2.We performed a literature search according to PRISMA-P (preferred reporting items for review and meta-analysis and searches in PubMed (MEDLINE database) to identify and select peer-reviewed articles allied to web-based educational accoutrements for IBD.

Results: 1.3.In developing nations, locally trained physicians have limited knowledge on IBD. Mostly, IBD is not included in their training Core Curriculum and research in this field/area is limited in these countries. The healthcare approaches, both at the primary care and referral levels, many times lack the essential regular clinical guidance and laboratory evaluation assessments needs for monitoring patients. Moreover, increasing treatment costs impose additional burden on the healthcare systems. Expensive pharmacological biosimilar and biologic agents/drugs, new treatment targets, and new quality indicators in patient health quality of life and care are significant challenge in addition to early manifestations of IBD are likely to be missed at most health institutions.

Conclusion: 1.4.We herewith summarize an on-line web-based e-learning guide for IBD-related educational resources to assist physicians, healthcare personnel and patients worldwide, especially in the developing nations where the epidemiological monitoring studies are limited, due to a lack of medical surveillance systems and reliable and unified registries and databases.

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