Ichiho Henry M, Aitaoto Nia
Pacific Chronic Disease Coalition, Atlanta, GA, USA.
Hawaii J Med Public Health. 2013 May;72(5 Suppl 1):5-9.
Chronic diseases are among the most costly and, in part, preventable health problems that share common behavioral risk factors. Data related to the prevalence of chronic diseases, such as diabetes, their risk factors, and the description of the capacity of the health and medical care system to address these problems are limited in the US-affiliated Pacific Islands (USAPI). This paper presents the background and methods used in conducting comprehensive assessments of the health care systems in ten sites across the USAPI. The principles used as the basis for conducting these assessments included capacity building and skills training. The methods included identifying the on-site Needs Assessment Team (NAT), developing the conceptual model; archival data collection; key informant interviews; reviewing data and documents to identify the key problems and issues to be prioritized; and reviewing and prioritizing the problems and issues.
慢性病是成本最高且部分可预防的健康问题之一，它们具有共同的行为风险因素。在美国附属太平洋岛屿（USAPI），与慢性病（如糖尿病）患病率、其风险因素以及卫生和医疗保健系统应对这些问题能力的描述相关的数据有限。本文介绍了在美国附属太平洋岛屿十个地点对医疗保健系统进行全面评估所采用的背景和方法。作为进行这些评估基础的原则包括能力建设和技能培训。方法包括确定现场需求评估团队（NAT）、制定概念模型；档案数据收集；关键信息提供者访谈；审查数据和文件以确定要优先处理的关键问题；以及对问题进行审查和排序。
