MBBS, MSc, MDS, MD, International Fellow, Community and Health Research Unit, University of Lincoln, UK; Senior Registrar in Community Medicine, Ministry of Health, Sri Lanka. @.
MBBS, MSc, MD, International Fellow, Community and Health Research Unit, University of Lincoln, UK; Senior Registrar in Medical Administration, Ministry of Health, Sri Lanka @.
Aust J Gen Pract. 2018 Jan-Feb;47(1-2):14-19. doi: 10.31128/AFP-09-17-4346.
Increased rates of multimorbidity, evident in developed and developing countries, should be addressed by health policy. The aim of this study was to compare policies and guidelines related to multimorbidity in primary healthcare in countries with different health systems, to identify initiatives, gaps and opportunities for further improvement. We conducted a content analysis of UK, Australian and Sri Lankan policy documents and guidelines published between 2006 and 2017, in electronic databases, references and government repositories, tabulating data extracted for content, implementation plans, gaps and opportunities for development. Overall, 38 of the 56 identified documents explicitly or implicitly addressed multimorbidity or its prevention. The UK had four policy documents and guidelines specifically on multimorbidity. Australia and Sri Lanka lacked specific policies on multimorbidity, but policies did address chronic conditions and non-communicable diseases. Important differences exist in how national policies seek to address multimorbidity. Policy implementation, how this affects quality of care and outcomes, and the role of primary care should be examined.
在发达国家和发展中国家，多发病的发病率不断上升，这需要卫生政策加以应对。本研究旨在比较不同卫生体系国家初级卫生保健中多发病的政策和指南，以确定进一步改进的举措、差距和机会。我们对英国、澳大利亚和斯里兰卡在 2006 年至 2017 年期间发表的政策文件和指南进行了内容分析，在电子数据库、参考文献和政府存储库中查找，对提取的内容、实施计划、差距和发展机会的数据进行了制表。总体而言，在所确定的 56 份文件中，有 38 份明确或含蓄地涉及多发病或其预防。英国有四份专门针对多发病的政策文件和指南。澳大利亚和斯里兰卡缺乏关于多发病的具体政策，但政策确实涉及了慢性病和非传染性疾病。各国政策在解决多发病方面存在重要差异。应审查政策实施情况、这对护理质量和结果的影响以及初级保健的作用。
