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[柬埔寨的皮肤病学:医学学科的可持续建立]

[Dermatology in Cambodia: Sustainable establishment of a medical discipline].

作者信息

Bendick Ch

机构信息

Department of Dermatology, Preah Kossamak-Hospital, BP 1006, Phnom Penh, Kambodscha,

出版信息

Hautarzt. 2015 May;66(5):320-5. doi: 10.1007/s00105-015-3600-6.

DOI:10.1007/s00105-015-3600-6
PMID:25868569
Abstract

After almost 25 years of dictatorship and civil war, in the mid 1990s, Cambodia was in dire need of improvement of its medical infrastructure on all levels. Attention had already been focused on establishing primary care services such as emergency surgery, paediatrics and gynaecology/obstetrics; however dermatovenereology services had so far not been addressed. Using a comprehensive approach aiming at sustainable development, German, French and Cambodian institutions worked together to identify four core areas in need of improvement: postgraduate training, development of skin clinics, quality management, and integration of dermatology services into the health insurance scheme. Since 2005, this "Masterplan Dermatology" was financially supported by the Centre for International Migration and Development (CIM) based in Frankfurt am Main and Else Kröner Fresenius-Stiftung (EKFS) based in Bad Homburg auf der Höhe. Significant improvements have been made due to the efforts of the above institutions with the support of the donors; however challenges of this complex endeavor still remain.

摘要

经过近25年的独裁统治和内战,在20世纪90年代中期,柬埔寨急需全面改善其医疗基础设施。此前已将注意力集中在建立诸如急诊外科、儿科以及妇科/产科等初级保健服务方面;然而,皮肤性病学服务至今仍未得到解决。德国、法国和柬埔寨的机构采用旨在实现可持续发展的综合方法,共同确定了四个需要改进的核心领域:研究生培训、皮肤诊所的发展、质量管理以及将皮肤科服务纳入健康保险计划。自2005年以来,这个“皮肤病学总体规划”得到了位于美因河畔法兰克福的国际移民与发展中心(CIM)以及位于巴特洪堡的埃尔斯·克勒纳·弗赖辛厄斯基金会(EKFS)的资金支持。在捐赠者的支持下,由于上述机构的努力,已经取得了显著进展;然而,这项复杂工作的挑战依然存在。

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本文引用的文献

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A population-based prevalence survey of skin diseases in adolescents and adults in rural Sumatra, Indonesia, 1999.1999年印度尼西亚苏门答腊岛农村青少年和成年人皮肤病的基于人群的患病率调查。
Trans R Soc Trop Med Hyg. 2001 Jul-Aug;95(4):384-8. doi: 10.1016/s0035-9203(01)90189-0.
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The prevalence of skin disease among school children in rural Ethiopia--a preliminary assessment of dermatologic needs.埃塞俄比亚农村学童皮肤病患病率——皮肤病需求的初步评估
Pediatr Dermatol. 1996 Sep-Oct;13(5):378-81. doi: 10.1111/j.1525-1470.1996.tb00704.x.
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Skin disease and socioeconomic conditions in rural Africa: Tanzania.
非洲农村地区的皮肤病与社会经济状况:坦桑尼亚
Int J Dermatol. 1996 Sep;35(9):633-9. doi: 10.1111/j.1365-4362.1996.tb03687.x.