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改善神经创伤监测的组织治理 述评:“低收入和中等收入国家国家登记处的神经创伤监测:范围综述和数据字典的比较分析”

Towards Improved Organizational Governance of Neurotrauma Surveillance Comment on "Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries".

机构信息

School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.

Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.

出版信息

Int J Health Policy Manag. 2023;12:7554. doi: 10.34172/ijhpm.2022.7554. Epub 2023 Jan 24.

Abstract

Neurotrauma surveillance data on burden and severity of disease serves as a tool to define legislations, guide high-yield risk-specific prevention, and evaluate and monitor management strategies for adequate resource allocation. In this scoping review, Barthélemy and colleagues demonstrate the gap in neurotrauma surveillance in low- and middle-income countries (LMICs) and suggest strategies for governance in neurotrauma surveillance. We underline state accountability as well as the need for the close integration of academic and tertiary care clinical practitioners and policy-makers in addressing the public health crisis caused by neurotrauma. Additionally, multiple sources for surveillance must be included, especially in communities where victims may remain without access to formal healthcare. Finally, we offer insights into possible ways of increasing the visibility of neurotrauma on political agendas.

摘要

神经创伤监测数据可用于评估和监测管理策略,以实现资源的合理分配,从而明确立法,指导高风险特定疾病的预防。在本次范围综述中,Barthélemy 及其同事表明了低收入和中等收入国家(LMICs)在神经创伤监测方面的差距,并提出了神经创伤监测治理策略。我们强调国家的责任,以及在解决神经创伤引起的公共卫生危机时,需要密切整合学术和三级护理临床医生以及政策制定者。此外,必须纳入多种监测来源,特别是在受害者可能无法获得正规医疗保健的社区。最后,我们提供了一些可能增加神经创伤在政治议程上的可见度的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363b/10125153/ca14d1e691fa/ijhpm-12-7554-g001.jpg

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