Sapag Jaime C, Lange Ilta, Campos Solange, Piette John D
Departamento de Medicina Familiar, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Panam Salud Publica. 2010 Jan;27(1):1-9. doi: 10.1590/s1020-49892010000100001.
To identify innovative strategies for improved care and self-care of patients with chronic diseases (CD) in Latin America and to explore interest in creating a Latin American network of professionals in this field.
A descriptive study based on a survey of key experts with recognized national or regional leadership in CD patient care. The 25-question questionnaire sought information on their experiences with care and self-care initiatives for CD patients, descriptions of successful initiatives, the perceived ability of countries to innovate in this area, their interest in participating in a network of Latin American professionals in this field, and more. Content analysis was performed to develop recommendations for the Region.
Responses were obtained from 17 (37.8%) of the 45 experts approached; 82.4% confirmed their knowledge of of involvement with an innovative initiative related to the subject. Initial development does exist in each of the three innovative strategy types: peer care, informal caregivers, and telenursing, the latter being the least explored. There is real interest in forming a Latin American network that focuses on development of innovative self-care strategies for CD patients.
Support for a joint network is promising. Priorities are building skills in this area and developing innovative proposals for improved CD patient care in the Region. Innovative measures should be complementary and adapted to the specific context of each scenario.
确定拉丁美洲改善慢性病（CD）患者护理和自我护理的创新策略，并探讨建立该领域拉丁美洲专业人员网络的兴趣。
一项描述性研究，基于对在CD患者护理方面具有公认的国家或地区领导地位的关键专家的调查。这份包含25个问题的问卷旨在收集他们在CD患者护理和自我护理倡议方面的经验、成功倡议的描述、各国在该领域的创新能力认知、他们参与该领域拉丁美洲专业人员网络的兴趣等信息。进行内容分析以制定针对该地区的建议。
在45位受访专家中，有17位（37.8%）回复；82.4%确认他们了解或参与过与该主题相关的创新倡议。三种创新策略类型（同伴护理、非正式照护者和远程护理，其中远程护理探索最少）均有初步发展。确实有兴趣组建一个专注于为CD患者开发创新自我护理策略的拉丁美洲网络。
对联合网络的支持前景乐观。优先事项是培养该领域的技能，并为该地区改善CD患者护理制定创新提案。创新措施应相互补充，并适应每个场景的具体情况。
