Santoro A, Abu-Rmeileh N, Khader A, Seita A, McKee M
Department of Public Health and Infectious Diseases, La Sapienza University, Rome, Italy.
Institute of Community and Public Health, Birzeit University, Birzeit, West Bank.
East Mediterr Health J. 2016 Sep 25;22(6):417-421. doi: 10.26719/2016.22.6.417.
Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community.
由联合国近东巴勒斯坦难民救济和工程处（近东救济工程处）提供服务的巴勒斯坦难民被诊断出患有非传染性疾病的比例正在上升。作为回应，近东救济工程处于2011年启动了一项全机构范围的初级医疗保健改革计划，该计划以慢性病护理模式框架为依据。卫生服务按照以家庭为中心的方法进行了重组，由多学科家庭健康团队提供服务，并得到最新技术建议的支持。实施了一个名为电子健康的包容性临床信息系统，以收集广泛的健康信息，重点是治疗的连续性。近东救济工程处能够在其现有资源范围内实现这些广泛的变革，重新分配资金、改革支付机制并使其药品采购政策现代化。虽然近东救济工程处初级医疗保健改革的具体组成部分显示出了令人鼓舞的成果，但还需要做出更多努力，以进一步增强患者的权能并加强社区的参与。
