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革新非洲的卒中护理:移动卒中单元变革潜力的小型综述。

Revolutionizing stroke care in Africa: A mini review of the transformative potential of mobile stroke units.

机构信息

Department of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.

Department of Medicine and Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.

出版信息

Medicine (Baltimore). 2023 Nov 3;102(44):e35899. doi: 10.1097/MD.0000000000035899.

Abstract

Stroke is a major health concern worldwide, and its impact is particularly pronounced across Africa. This paper delves into the challenges faced in African stroke care and explores the significant potential benefits of mobile stroke units (MSUs) in mitigating these issues. Key challenges include the limited healthcare infrastructure, funding constraints, difficulties reaching remote and rural areas, and shortages of qualified healthcare professionals, especially neurologists and stroke specialists. To address these challenges, recommendations are provided, emphasizing the importance of infrastructure development, sustainable funding mechanisms, solutions for rural accessibility, and healthcare workforce development through training programs and incentives. Additionally, the paper discusses prospects for MSUs in Africa, highlighting the potential for technology advancements to yield more cost-effective and compact MSU models. The integration of telemedicine capabilities within MSUs is examined to enhance communication with specialist physicians at remote hospitals, ultimately improving stroke care outcomes. Furthermore, data collection on MSU outcomes and their impact on stroke care is emphasized to inform evidence-based policies and enhance MSU operations. Collaboration and partnerships between governments, healthcare organizations, and international stakeholders are critical for facilitating MSU expansion. These partnerships can provide essential funding, expertise, and support for the implementation and sustainable operation of MSUs in Africa.

摘要

中风是全球范围内的一个主要健康问题,其在非洲的影响尤为显著。本文深入探讨了非洲中风护理面临的挑战,并探讨了移动中风单元(MSU)在缓解这些问题方面的重大潜在益处。主要挑战包括有限的医疗保健基础设施、资金限制、难以到达偏远和农村地区以及合格的医疗保健专业人员短缺,特别是神经科医生和中风专家。为了解决这些挑战,本文提出了建议,强调了基础设施发展、可持续资金机制、农村可达性解决方案以及通过培训计划和激励措施发展医疗保健劳动力的重要性。此外,本文还讨论了 MSU 在非洲的前景,强调了技术进步有可能产生更具成本效益和更紧凑的 MSU 模型。本文探讨了在 MSU 中集成远程医疗能力,以加强与远程医院的专家医生之间的沟通,最终改善中风护理的结果。此外,还强调了收集 MSU 结果及其对中风护理影响的数据,以便为循证政策提供信息并增强 MSU 的运作。政府、医疗保健组织和国际利益相关者之间的合作和伙伴关系对于促进 MSU 的扩展至关重要。这些伙伴关系可以为非洲 MSU 的实施和可持续运营提供必要的资金、专业知识和支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5664/10627687/cc108c95f277/medi-102-e35899-g001.jpg

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