在中低收入国家建立有组织的脑卒中护理:从非专业人员培训到实施

I. Sebastian, M. Demers, N. Yeghiazaryan, Wan Asyraf WZ, A. Nasreldein, U. Gopaul, M. Charalambous, S. Thilarajah, Kwah Li Khim, Venugopalan Y Vishnu
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引用次数: 1

摘要

与高收入国家相比,低收入和中等收入国家的卒中负担更高,卒中造成的死亡率和致残率也更高。然而,可获得的资源,包括基础设施和人员,却大相径庭。由于中低收入国家缺乏专业的神经科医生或中风医生,因此必须依靠其他的中风治疗模式。任务共享模式,如医生主导的模式或非专科模式,先前已经评估了可行性和成本效益的证据。我们建议通过一个结构化的能力建设项目,通过定制的移动应用程序来指导非专业人员提供最佳的中风护理,在3个中低收入国家实施和评估非专业人员中风护理模式的有效性。这项研究将为在不同地区更大范围内由非专科医生驱动的卒中护理的有效性提供重要信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishing Organized Stroke Care in Low- and Middle-Income Countries: From Training of Non-specialist to Implementation
Low- and middle-income countries (LMICs) suffer from a higher stroke burden compared to high-income countries with higher mortality and disability due to stroke. However, the availability of resources, both infrastructural and personnel, is widely discrepant. The lack of specialist neurologists or stroke physicians in LMICs makes it imperative to rely on alternative models of stroke care. Task-sharing models such as the physician-led model or the non-specialist model have been evaluated previously with evidence for feasibility and cost-effectiveness. We propose to implement and assess the effectiveness of a non-specialist model of stroke care across 3 LMICs through a structured capacity building program, augmented by a tailored mobile application to guide the non-specialists in delivering optimal stroke care. This study will provide essential information on the effectiveness of a non-specialist driven delivery of stroke care on a larger scale across different regional contexts.
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