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mEDUrare: Supporting Integrated Care for Rare Diseases by Better Connecting Health and Education Through Policy.mEDUrare:通过政策更好地连接卫生与教育,支持罕见病综合关怀
Yale J Biol Med. 2021 Dec 29;94(4):693-702. eCollection 2021 Dec.
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Key outcomes from stakeholder workshops at a symposium to inform the development of an Australian national plan for rare diseases.利益相关者研讨会的主要成果,该研讨会旨在为制定澳大利亚国家罕见病计划提供信息。
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引用本文的文献

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J Prim Care Community Health. 2025 Jan-Dec;16:21501319241311567. doi: 10.1177/21501319241311567.
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Barriers to and Facilitators of Providing Care for Adolescents Suffering from Rare Diseases: A Mixed Systematic Review.为患有罕见病的青少年提供护理的障碍与促进因素:一项混合系统评价
Pediatr Rep. 2023 Aug 9;15(3):462-482. doi: 10.3390/pediatric15030043.
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Rare disease education in Europe and beyond: time to act.罕见病教育在欧洲及其他地区:是时候采取行动了。
Orphanet J Rare Dis. 2022 Dec 19;17(1):441. doi: 10.1186/s13023-022-02527-y.

本文引用的文献

1
How are patients with rare diseases and their carers in the UK impacted by the way care is coordinated? An exploratory qualitative interview study.英国罕见病患者及其照护者的护理协调方式会产生怎样的影响?一项探索性定性访谈研究。
Orphanet J Rare Dis. 2021 Feb 10;16(1):76. doi: 10.1186/s13023-020-01664-6.
2
Influence of schooling on the health-related quality of life of children with rare diseases.受教育程度对罕见病患儿健康相关生活质量的影响。
Health Qual Life Outcomes. 2020 Apr 28;18(1):109. doi: 10.1186/s12955-020-01351-x.
3
Rare diseases 2030: how augmented AI will support diagnosis and treatment of rare diseases in the future.2030年的罕见病:增强人工智能将如何在未来支持罕见病的诊断和治疗
Ann Rheum Dis. 2020 Jun;79(6):740-743. doi: 10.1136/annrheumdis-2020-217125. Epub 2020 Mar 24.
4
Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database.估算罕见病的累计点患病率:对孤儿药数据库的分析。
Eur J Hum Genet. 2020 Feb;28(2):165-173. doi: 10.1038/s41431-019-0508-0. Epub 2019 Sep 16.
5
"It's not all in my head!" - The complex relationship between rare diseases and mental health problems.“这并非全是我的幻觉!”——罕见病与心理健康问题之间的复杂关系。
Orphanet J Rare Dis. 2017 Feb 27;12(1):29. doi: 10.1186/s13023-017-0591-7.
6
The collective impact of rare diseases in Western Australia: an estimate using a population-based cohort.西澳大利亚罕见病的总体影响:基于人群队列的估计
Genet Med. 2017 May;19(5):546-552. doi: 10.1038/gim.2016.143. Epub 2016 Sep 22.
7
The rare and undiagnosed diseases diagnostic service - application of massively parallel sequencing in a state-wide clinical service.罕见病和未确诊疾病诊断服务——大规模平行测序在全州临床服务中的应用
Orphanet J Rare Dis. 2016 Jun 11;11(1):77. doi: 10.1186/s13023-016-0462-7.
8
Survey of healthcare experiences of Australian adults living with rare diseases.澳大利亚成年罕见病患者医疗保健经历调查。
Orphanet J Rare Dis. 2016 Mar 24;11:30. doi: 10.1186/s13023-016-0409-z.
9
A powerful team: the family physician advocating for patients with a rare disease.一个强大的团队:为罕见病患者发声的家庭医生。
Aust Fam Physician. 2015 Sep;44(9):634-8.
10
Reducing bottlenecks: professionals' and adolescents' experiences with transitional care delivery.减少瓶颈:专业人员和青少年在过渡性护理服务中的经历。
BMC Health Serv Res. 2014 Jan 31;14:47. doi: 10.1186/1472-6963-14-47.

mEDUrare:通过政策更好地连接卫生与教育,支持罕见病综合关怀

mEDUrare: Supporting Integrated Care for Rare Diseases by Better Connecting Health and Education Through Policy.

机构信息

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.

出版信息

Yale J Biol Med. 2021 Dec 29;94(4):693-702. eCollection 2021 Dec.

PMID:34970108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686785/
Abstract

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.

摘要

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。