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以患者为中心、可持续的高血压护理:在中低收入国家采用差异化的高血压服务提供模式的案例。

Patient-Centered, Sustainable Hypertension Care: The Case for Adopting a Differentiated Service Delivery Model for Hypertension Services in Low- and Middle-Income Countries.

机构信息

Stanford Health Policy, Centers for Health Policy/Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Stanford, California, US.

Veterans Affairs Palo Alto Health Care System, Palo Alto, California, US.

出版信息

Glob Heart. 2021 Sep 2;16(1):59. doi: 10.5334/gh.978. eCollection 2021.

DOI:10.5334/gh.978
PMID:34692383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8415184/
Abstract

Expanding hypertension services in low- and middle-income countries requires efficient and effective service delivery approaches that meet the needs and expectations of people living with hypertension within the resource constraints of existing national health systems. Ideally, a hypertension program will extend treatment coverage while maintaining service quality, maximizing efficient resource utilization and improving clinical outcomes. In this article, we discuss lessons learned from HIV differentiated service delivery initiatives, and make the case that the same approach should be adopted for hypertension programs.

摘要

在中低收入国家扩大高血压服务需要高效和有效的服务提供方法,这些方法要满足国家卫生系统资源限制范围内的高血压患者的需求和期望。理想情况下,高血压项目将扩大治疗覆盖面,同时保持服务质量,最大限度地提高资源利用效率并改善临床结果。在本文中,我们讨论了从艾滋病毒差异化服务提供举措中吸取的经验教训,并认为高血压项目也应该采取同样的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d6/8415184/e4f07f4ce5c8/gh-16-1-978-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d6/8415184/355d2ef1c0ae/gh-16-1-978-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d6/8415184/e4f07f4ce5c8/gh-16-1-978-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d6/8415184/355d2ef1c0ae/gh-16-1-978-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d6/8415184/e4f07f4ce5c8/gh-16-1-978-g2.jpg

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PEPFAR's response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa.PEPFAR 对撒哈拉以南非洲地区 HIV 和 COVID-19 大流行交汇的应对措施。
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Towards evidence-based integration of services for HIV, non-communicable diseases and substance use: insights from modelling.
Early findings from the integration of hypertension care into differentiated service delivery models for HIV in Uganda: a mixed-method study.
乌干达将高血压护理纳入艾滋病差异化服务提供模式的早期研究结果:一项混合方法研究
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Decentralising healthcare for diabetes and hypertension from secondary to primary level in a humanitarian setting in Kurdistan, Iraq: a qualitative study.伊拉克库尔德斯坦地区人道主义背景下糖尿病和高血压医疗服务从二级医疗机构向基层医疗机构的下放:一项定性研究
BMC Health Serv Res. 2025 Apr 15;25(1):548. doi: 10.1186/s12913-025-12571-6.
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Exploring the preferred integration approach for HIV, diabetes and hypertension care and associated barriers and facilitators in Central Tanzania: An exploratory qualitative study.探索坦桑尼亚中部地区艾滋病毒、糖尿病和高血压护理的首选整合方法以及相关障碍和促进因素:一项探索性定性研究。
PLOS Glob Public Health. 2024 Jul 24;4(7):e0003510. doi: 10.1371/journal.pgph.0003510. eCollection 2024.
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Cost-effectiveness of group medical visits and microfinance interventions versus usual care to manage hypertension in Kenya: a secondary modelling analysis of data from the Bridging Income Generation with Group Integrated Care (BIGPIC) trial.肯尼亚群组医疗访视和小额信贷干预与常规护理治疗高血压的成本效益比较:BIGPIC 试验数据的二次建模分析。
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