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带儿科出国:在全球大流行中与低收入和中等收入国家合作。

Taking Paediatrics Abroad: Working with low- and middle-income countries in a global pandemic.

机构信息

Discipline of Paediatrics, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

Taking Paediatrics Abroad Advisory Group, Taking Paediatrics Abroad Ltd, Sydney, New South Wales, Australia.

出版信息

J Paediatr Child Health. 2021 Jul;57(7):981-985. doi: 10.1111/jpc.15598. Epub 2021 Jun 4.

Abstract

Children and young people around the world face challenges to their health and wellbeing. In particular, in low- and middle-income countries they experience a higher burden of disease, exacerbated by global inequity limiting access to quality health care. According to the inverse care law, the availability of quality health care varies inversely to the need of the population, and hardworking health-care professionals in under-resourced countries may face impediments to continued education or subspecialty training. In line with the Sustainable Development Goals, collaborations have been developed between high-income and low- and-middle-income countries to address global disparities in health. These collaborations face challenges of high financial costs, difficulties creating long-term sustainable change, and with the emergence of the COVID-19 pandemic, border closures preventing fly-in volunteers. In this paper, we describe the development of an innovative, paediatric-specific model of care for training and support between high- and low-income countries - Taking Paediatrics Abroad Ltd. Taking Paediatrics Abroad supports the development of mutually beneficial relationships between Australian paediatric health-care professionals and paediatric health-care professionals in developing countries and remote, underserved Australian Aboriginal communities. Since May 2020, there have been over 100 sessions covering a vast array of paediatric specialties. This article explores Taking Paediatrics Abroad's model of care, its implementation and challenges, and opportunities for the future.

摘要

世界各地的儿童和青少年都面临着健康和幸福的挑战。特别是在中低收入国家,他们承受着更高的疾病负担,全球不平等加剧了这一负担,限制了他们获得高质量医疗保健的机会。根据反向医疗保健定律,高质量医疗保健的可及性与人口的需求呈反比,资源匮乏国家的辛勤工作的医疗保健专业人员可能会面临继续教育或专科培训的障碍。为了应对全球卫生差异,高收入和中低收入国家之间已经建立了合作关系,以实现可持续发展目标。这些合作面临着高财务成本、难以实现长期可持续变革的挑战,并且随着 COVID-19 大流行的出现,边境关闭阻止了飞行志愿者的到来。在本文中,我们描述了一种创新的、针对儿科的护理模式,用于高收入和低收入国家之间的培训和支持——Taking Paediatrics Abroad Ltd. Taking Paediatrics Abroad 支持澳大利亚儿科医疗保健专业人员和发展中国家以及偏远、服务不足的澳大利亚原住民社区的儿科医疗保健专业人员之间建立互利关系。自 2020 年 5 月以来,已经有超过 100 个涵盖广泛儿科专业的课程。本文探讨了 Taking Paediatrics Abroad 的护理模式、实施和挑战,以及未来的机会。

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