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探索在非洲建立可持续医疗体系的策略:来自日本和瑞士的经验教训。

Exploring strategies for building a sustainable healthcare system in Africa: lessons from Japan and Switzerland.

作者信息

Muili Abdulbasit Opeyemi, Tangmi Adrien, Shariff Sanobar, Awad Farah, Oseili Taha

机构信息

Department of Medicine, Ladoke Akintola University of Technology, Ogbomosho, Nigeria.

Faculty of Medicine, Université Technologique Bel Campus, Kinshasa, DRC.

出版信息

Ann Med Surg (Lond). 2024 Jan 29;86(3):1563-1569. doi: 10.1097/MS9.0000000000001767. eCollection 2024 Mar.

Abstract

Strengthening healthcare infrastructure is an important strategy for building a sustainable healthcare system in Africa. This involves investing in facilities, equipment, and supplies, as well as training and retaining skilled healthcare workers. Additionally, improving healthcare infrastructure and investing in healthcare education and training can lead to significant improvements in health outcomes, such as reducing maternal and child mortality. This is critical for building a sustainable healthcare system. Through a literature review, we assessed the approaches to building a sustainable healthcare system in Africa from the perspectives of Japan's and Switzerland's healthcare systems. It was discovered that Japan currently has the highest life expectancy, which can be attributed to insurance policies, healthcare policies, and the integration of emerging technologies and clinical research into their healthcare system. Lessons that Africa must emulate from the Japanese healthcare system include ensuring universal healthcare coverage, improving the workforce, improving primary healthcare, prioritizing the aging population, and investing in technology, infrastructure, and research. Japans healthcare system is also sustainable thanks to its stable workforce and primary healthcare. Switzerland also has an exceptional healthcare system globally, with technical and socioeconomic advancements leading to increased life expectancy and population aging through a worldwide health policy approach, programs tackling professional responsibilities and interprofessional cooperation, and initiatives to support family medicine. By learning from Japan's and Switzerland's approaches, Africa will gradually achieve the Sustainable Development Goals and build a sustainable healthcare system.

摘要

加强医疗基础设施建设是非洲建立可持续医疗体系的一项重要战略。这包括对设施、设备和物资进行投资,以及培训和留住熟练的医疗工作者。此外,改善医疗基础设施并投资于医疗教育和培训能够显著改善健康成果,比如降低孕产妇和儿童死亡率。这对建立可持续医疗体系至关重要。通过文献综述,我们从日本和瑞士医疗体系的角度评估了非洲建立可持续医疗体系的方法。研究发现,日本目前的预期寿命最高,这可归因于其保险政策、医疗政策以及将新兴技术和临床研究融入其医疗体系。非洲必须借鉴日本医疗体系的经验教训包括确保全民医保覆盖、改善医疗工作队伍、改善初级医疗、优先关注老年人口以及投资技术、基础设施和研究。日本的医疗体系因其稳定的医疗工作队伍和初级医疗而具有可持续性。瑞士在全球也拥有卓越的医疗体系,通过全球健康政策方针、应对职业责任和跨专业合作的项目以及支持家庭医学的举措,技术和社会经济进步使得预期寿命增加且人口老龄化加剧。通过借鉴日本和瑞士的方法,非洲将逐步实现可持续发展目标并建立可持续医疗体系。

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