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全球即时检验的卫生经济学及其在澳大利亚偏远地区初级卫生保健环境中的实施效果综述。

Review of Health Economics of Point-of-Care Testing Worldwide and Its Efficacy of Implementation in the Primary Health Care Setting in Remote Australia.

作者信息

Wong Hoi Yan, Marcu Loredana G, Bezak Eva, Parange Nayana Anupam

机构信息

Division of Health Sciences, University of South Australia, Adelaide, SA 5000, Australia.

Faculty of Informatics & Science, University of Oradea, Oradea 410087, Romania.

出版信息

Risk Manag Healthc Policy. 2020 May 6;13:379-386. doi: 10.2147/RMHP.S247774. eCollection 2020.

Abstract

There are important differences concerning health outcomes between the Australian population living in rural/remote regions and the urban population. Health care provision in remote areas, particularly in regions with a low number of inhabitants, is not without challenges. Aboriginal, rural and remote communities are therefore affected, as they face various obstacles in accessing health services, owing to geographical settings, difficulties in transportation to nearby hospitals, limited or inexistent local qualified personnel. The implementation of point-of-care testing could be a plausible solution to these challenges, as various point-of-care services that have been successfully put into action worldwide indicate towards positive clinical outcomes. Point-of-care units have a real potential in reducing morbidity and mortality in all population groups. This article aims to review the published literature on point-of-care testing around the world, with a focus on health economics and the feasibility of its implementation in Australian rural and remote regions.

摘要

生活在澳大利亚农村/偏远地区的人口与城市人口在健康结果方面存在重要差异。偏远地区的医疗服务提供,尤其是在居民数量较少的地区,并非没有挑战。原住民、农村和偏远社区因此受到影响,因为由于地理环境、前往附近医院的交通困难、当地合格人员有限或不存在,他们在获得医疗服务方面面临各种障碍。即时检验的实施可能是应对这些挑战的一个可行解决方案,因为世界各地成功实施的各种即时检验服务都显示出积极的临床结果。即时检验单位在降低所有人群的发病率和死亡率方面具有实际潜力。本文旨在综述世界各地关于即时检验的已发表文献,重点关注卫生经济学及其在澳大利亚农村和偏远地区实施的可行性。

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