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中低收入国家的脑卒中康复:行动呼吁。

Stroke rehabilitation in low-income and middle-income countries: a call to action.

机构信息

Stroke Theme, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC, Australia; National Health and Medical Research Council Centre, University of Melbourne, Melbourne, VIC, Australia.

Department of Physiotherapy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Lancet. 2020 Oct 31;396(10260):1452-1462. doi: 10.1016/S0140-6736(20)31313-1.

Abstract

The WHO Rehabilitation 2030 agenda recognises the importance of rehabilitation in the value chain of quality health care. Developing and delivering cost-effective, equitable-access rehabilitation services to the right people at the right time is a challenge for health services globally. These challenges are amplified in low-income and middle-income countries (LMICs), in which the unmet need for rehabilitation and recovery treatments is high. In this Series paper, we outline what is happening more broadly as part of the WHO Rehabilitation 2030 agenda, then focus on the specific challenges to development and implementation of effective stroke rehabilitation services in LMICs. We use stroke rehabilitation clinical practice guidelines from both high-income countries and LMICs to highlight opportunities for rapid uptake of evidence-based practice. Finally, we call on educators and the stroke rehabilitation clinical, research, and not-for-profit communities to work in partnership for greater effect and to accelerate progress.

摘要

世界卫生组织 2030 年康复议程认识到康复在优质医疗保健价值链中的重要性。在全球范围内,为合适的人在合适的时间提供具有成本效益、公平获取的康复服务是卫生服务面临的挑战。在低收入和中等收入国家(LMICs),康复和恢复治疗的未满足需求很高,这些挑战更加突出。在本系列论文中,我们概述了作为世界卫生组织 2030 年康复议程的一部分正在发生的更广泛的情况,然后重点介绍了在 LMICs 中开发和实施有效的中风康复服务所面临的具体挑战。我们使用来自高收入国家和 LMICs 的中风康复临床实践指南,强调了快速采用基于证据的实践的机会。最后,我们呼吁教育工作者以及中风康复临床、研究和非营利社区为了更大的效果和加速进展而合作。

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