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基于系统思维的方法,以应对在低收入和中低收入国家形成的与抗菌素耐药性相关的卫生不公平现象。

Systems thinking based approaches to engage with health inequities shaping Antimicrobial Resistance in low and lower-middle-income countries.

机构信息

SUSTAINIT - Unit for sustainable health, Faculty of Medicine, University of Oslo, Norway; HISP India, India.

HISP India, India; Department of Informatics, University of Oslo, Norway.

出版信息

J Infect Public Health. 2023 Dec;16 Suppl 1:129-133. doi: 10.1016/j.jiph.2023.11.008. Epub 2023 Nov 8.

Abstract

This paper argues for 'systems thinking' as a conceptual framework to address antimicrobial resistance, especially focusing on the context of low and lower middle-income countries (LLMICs), which are plagued with health inequities that magnify the AMR threat. Systems thinking provides two avenues to enhance these mitigation efforts: i) it helps go beyond a purely biomedical approach to incorporate considerations of the social and informational; ii) particularly relevant as is it helps to understand the role of health inequities in shaping AMR related prevention and care processes.

摘要

本文主张将“系统思维”作为解决抗微生物药物耐药性的概念框架,特别是侧重于中低收入国家(LMICs)的情况,这些国家存在加剧抗微生物药物耐药性威胁的健康不平等现象。系统思维提供了两种途径来加强这些缓解工作:i)它有助于超越纯粹的生物医学方法,纳入对社会和信息方面的考虑;ii)特别相关的是,它有助于了解健康不平等在塑造与抗微生物药物耐药性相关的预防和护理过程中的作用。

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