Faculty of Health & Medical Sciences, The University of Western Australia, Perth, Australia.
Department of Education, School of Special Education Needs, Government of Western Australia, Perth, Australia.
Yale J Biol Med. 2021 Dec 29;94(4):693-702. eCollection 2021 Dec.
Rare diseases affect an estimated 6-10% of the Australian population, a prevalence similar to that seen in other regions worldwide. These multi-system conditions are often severely debilitating and affect multiple domains of a person's life. A salient necessity for effective care provision thus, is holistic care, achieved by appropriate and continual multi-disciplinary and cross-sectoral collaboration. Synonymous with this priority for collaborative care, is the need for increased partnerships between the health and education sectors. This partnership has the potential to benefit people with rare disease of all educational ages, but in particular, school-aged children and young adults. More than 70% of rare diseases affect children, and this population often experiences difficulties with overall well-being and functioning, including impaired school performance and confounding mental and social comorbidities. Ensuring adequate schooling needs and experiences along with provision of adequate medical care, is crucial in ensuring overall well-being for this population. For this, effective partnerships between the health and education sectors are paramount. This article highlights fundamental elements of health and education priorities, ingrained in current strategic documents, to build a policy foundation that informs and supports increased inter-sectoral partnerships between health and education services. Shared priorities identified in both sectors' guidelines, co-developed with those with lived experience of rare diseases, build a strong policy base for future advocative initiatives to mold better integration between the sectors, a partnership which is vital to improving the overall quality of life, experiences and journeys of people living with rare disease.
罕见病影响了澳大利亚约 6-10%的人口,这一患病率与世界其他地区相似。这些多系统疾病常常严重致残,并影响到一个人生活的多个领域。因此,提供有效护理的一个显著需求是整体护理,这可以通过适当和持续的多学科和跨部门合作来实现。这种协作护理的优先事项,也需要增加卫生和教育部门之间的伙伴关系。这种伙伴关系有可能使所有教育年龄段的罕见病患者受益,但特别是学龄儿童和青年。超过 70%的罕见病影响儿童,这一人群通常在整体健康和功能方面存在困难,包括学业成绩受损和精神和社会共病。确保这一人群获得足够的教育需求和体验,以及提供足够的医疗护理,对于确保他们的整体福祉至关重要。为此,卫生和教育部门之间的有效伙伴关系至关重要。本文强调了当前战略文件中固有的卫生和教育优先事项的基本要素,为增加卫生和教育服务之间的部门间伙伴关系提供了信息和支持。在两个部门的指南中确定的共同优先事项,是与罕见病患者共同制定的,为未来倡导倡议奠定了坚实的政策基础,以塑造更好的部门间融合,这种伙伴关系对于提高罕见病患者的整体生活质量、体验和疾病历程至关重要。