Mamo Yoseph, Seid Etalem, Adams Sarah, Gardiner Amy, Parry Eldryd
London School of Hygiene and Tropical Medicine.
Clin Med (Lond). 2007 Jun;7(3):228-31. doi: 10.7861/clinmedicine.7-3-228.
Chronic non-communicable diseases such as epilepsy, diabetes, cardiac disease and hypertension represent a growing but neglected burden in developing countries. Rural sufferers, distant from health facilities, bear this most acutely. In response, a community care programme has been developed at Jimma University Hospital and its allied health centres in rural southwest Ethiopia. This involves general duty nurses at rural health centres being trained to provide care for chronic disease patients, with regular supervision from the hospital physicians. The programme allows treatment to be provided away from the main hospital so that those who cannot afford to travel can access care near their homes. Improved access increases the request for care, and helps to address the large unmet need for chronic disease treatment. This is a good model in which rural healthcare delivery through a team can bring widespread benefit. In this article chronic disease care is discussed with a particular focus on diabetes and epilepsy. The model can be replicated in more or less developed countries and may also be relevant for HIV care.
癫痫、糖尿病、心脏病和高血压等慢性非传染性疾病在发展中国家构成了日益加重但却被忽视的负担。居住在远离医疗机构的农村患者承受的负担最为沉重。作为应对措施，吉马大学医院及其在埃塞俄比亚西南部农村地区的联合健康中心制定了一项社区护理计划。该计划包括对农村健康中心的普通护士进行培训，以便为慢性病患者提供护理，并由医院医生进行定期监督。该计划使治疗可以在远离主要医院的地方提供，从而让那些负担不起旅费的人能够在离家较近的地方获得护理。获得护理的机会增加，对护理的需求也随之增加，并有助于满足慢性病治疗方面大量未得到满足的需求。这是一个很好的模式，通过团队进行农村医疗服务可以带来广泛的益处。在本文中，将特别针对糖尿病和癫痫讨论慢性病护理。该模式或多或少可以在发达国家进行复制，也可能适用于艾滋病毒护理。
