根据日本经验培训非传染性疾病医疗协调员。

Megumi Ogawa, Yurie Kobashi
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引用次数: 0

摘要

目的:在低收入和中等收入国家,非传染性疾病(NCDs)的发病率正在上升,这是一项重大的公共卫生挑战。在此,我们介绍了日本在培训医疗协调员以防治非传染性疾病方面的经验,重点是肝炎、早发性痴呆和医疗复杂性儿童。协调员在弥合患者与保健服务之间的差距方面发挥着重要作用。材料和方法:我们考察了协调员的培训和作用。在日本模式中,医疗协调员,包括医疗和非医疗人员,成功地加强了针对特定疾病的保健服务。然而,挑战依然存在,包括协调员分布不均、培训项目不一致、项目成立时间较短以及对协调员角色和活动的认识有限。结果与结论:培训医疗协调员可加强对非传染性疾病患者的综合支持。尽管存在局限性,但该模型为面临类似医疗人力资源短缺的其他亚洲国家制定干预战略提供了有价值的见解。政府、医院和相关组织在培训协调员方面开展合作,有望解决这些地区非传染性疾病日益流行的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Training of medical coordinators for noncommunicable diseases based on Japanese experience.

Objective: The incidence of noncommunicable diseases (NCDs) is increasing in low- and middle-income countries and represents a major public health challenge. Herein, we present Japan's experience in training medical coordinators to combat NCDs, with a focus on hepatitis, early-onset dementia, and children with medical complexity. Coordinators play an important role in bridging the gap between patients and healthcare services.

Materials and methods: We examined the training and roles of the coordinators. In the Japanese model, medical coordinators, including both medical and non-medical personnel, have successfully strengthened the delivery of healthcare services for specific diseases. However, challenges persist, including the uneven distribution of coordinators, inconsistencies in training programs, the program's relatively recent establishment, and limited awareness of coordinators' roles and activities.

Results and conclusion: Training medical coordinators can strengthen comprehensive patient support in managing NCDs. Despite its limitations, this model provides valuable insights for developing interventional strategies in other Asian countries facing similar medical human resource shortages. Collaboration among governments, hospitals, and related organisations in training coordinators holds promise in addressing the growing prevalence of NCDs in these regions.

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