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为非洲以患者为中心的医疗保健铺平道路:来自一项学生主导倡议的见解。

Paving the Path to Patient-Centered Healthcare in Africa: Insights From a Student Led Initiative.

作者信息

Muganzi David Jolly, Namara Catherine Misango, Kintu Timothy Mwanje, Atulinda Linda, Kihumuro Raymond Bernard, Ahaisibwe Bonaventure, Montori Victor M

机构信息

Patient Centered Care movement Africa (PaCeM-Afro), Kampala, Uganda.

The Patient Revolution, Inc, United States.

出版信息

Ann Glob Health. 2024 Apr 5;90(1):27. doi: 10.5334/aogh.4250. eCollection 2024.

DOI:10.5334/aogh.4250
PMID:38618271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11012222/
Abstract

Patient-centered care (PCC) is a key domain of healthcare quality. Its importance is driven by evidence-based medicine, the predominance of chronic conditions requiring self-care, and the recognition of the priority of patient goals, values, priorities, and preferences in determining care plans. This article emphasizes the urgent need for Africa to develop PCC and a workforce committed to its implementation, as well as highlights an initiative by African medical students to champion PCC continent-wide. Embracing this transformative approach presents Africa with an unprecedented opportunity to improve care for each person. Through a comprehensive exploration of unique strategies and considerations in African health professions education, this viewpoint seeks to spark dialogue and inspire action towards a future where patient-centered care is the foundation of healthcare delivery in Africa.

摘要

以患者为中心的护理(PCC)是医疗质量的一个关键领域。其重要性源于循证医学、需要自我护理的慢性病的主导地位,以及在确定护理计划时认识到患者目标、价值观、优先事项和偏好的优先性。本文强调非洲迫切需要发展以患者为中心的护理以及致力于实施该护理的劳动力队伍,并突出了非洲医学生在全非洲倡导以患者为中心的护理的一项倡议。采用这种变革性方法为非洲提供了一个前所未有的机会来改善对每个人的护理。通过全面探索非洲卫生专业教育中的独特策略和考虑因素,这一观点旨在引发对话,并激励人们朝着一个以患者为中心的护理成为非洲医疗服务基础的未来采取行动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee49/11012222/6ba56d94e56d/agh-90-1-4250-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee49/11012222/6ba56d94e56d/agh-90-1-4250-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee49/11012222/6ba56d94e56d/agh-90-1-4250-g1.jpg

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本文引用的文献

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Providers' perceptions of communication with patients in primary healthcare in Rwanda.卢旺达初级卫生保健中提供者对与患者沟通的看法。
PLoS One. 2018 Apr 4;13(4):e0195269. doi: 10.1371/journal.pone.0195269. eCollection 2018.
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The determinants and outcomes of good provider communication: a cross-sectional study in seven African countries.优质医疗服务提供者沟通的决定因素与结果:一项在七个非洲国家开展的横断面研究。
BMJ Open. 2017 Jul 2;7(6):e014888. doi: 10.1136/bmjopen-2016-014888.
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Patient-Centered Care Challenges and Surprises: Through the Clerkship Students' Eyes.
以患者为中心的护理挑战与意外:透过见习学生的视角
Fam Med. 2017 Jan;49(1):57-61.
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Medicine, Empires, and Ethics in Colonial Africa.殖民非洲的医学、帝国与伦理
AMA J Ethics. 2016 Jul 1;18(7):743-53. doi: 10.1001/journalofethics.2016.18.7.mhst1-1607.
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Moving Toward Patient-Centered Care in Africa: A Discrete Choice Experiment of Preferences for Delivery Care among 3,003 Tanzanian Women.迈向非洲以患者为中心的医疗服务:对3003名坦桑尼亚妇女分娩护理偏好的离散选择实验
PLoS One. 2015 Aug 11;10(8):e0135621. doi: 10.1371/journal.pone.0135621. eCollection 2015.
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Why the nation needs a policy push on patient-centered health care.为何国家需要推动以患者为中心的医疗保健政策。
Health Aff (Millwood). 2010 Aug;29(8):1489-95. doi: 10.1377/hlthaff.2009.0888.
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Patient- and family-centered care: partnerships for quality and safety.以患者和家庭为中心的护理:实现质量与安全的伙伴关系。
N C Med J. 2009 Mar-Apr;70(2):125-30.