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推进非洲医疗保健领域的基因服务:一项范围审查中的挑战、机遇与战略见解

Advancing genetic services in African healthcare: Challenges, opportunities, and strategic insights from a scoping review.

作者信息

Kamga Karen Kengne, Marlyse Pallissa Fonkam, Nguefack Seraphin, Wonkam Ambroise

机构信息

Medical Genetic Service, Regional Hospital Limbe, Limbe, Cameroon; Division of Human Genetics, University of Cape Town, Cape Town, South Africa.

Medical Genetic Service, Regional Hospital Limbe, Limbe, Cameroon.

出版信息

HGG Adv. 2025 Apr 10;6(3):100439. doi: 10.1016/j.xhgg.2025.100439.

Abstract

The implementation of genetic medicine services in African healthcare systems is a complex process that presents both challenges and opportunities. The primary objective of this study was to provide evidence-based recommendations to policymakers and healthcare organizations to help ensure the successful integration of genetic services into African healthcare systems. To achieve this goal, we conducted a scoping review of peer-reviewed studies published between 2003 and 2023. The studies were sourced from PubMed, Scopus, and Africa-wide information databases. We based their findings on eight relevant research studies conducted between 2016 and 2023, covering a wide range of genetic topics in six African countries, including Cameroon, Kenya, Nigeria, Rwanda, South Africa, and Tanzania. The studies identified several challenges associated with the implementation of genetic services in African healthcare systems. These challenges include a lack of awareness and education about genetic diseases, barriers to genetic testing, resource limitations, ethical dilemmas, and challenges in follow-up and retention. However, the authors also highlighted opportunities and strategies for successful implementation, emphasizing preventive measures through community engagement, advocacy, and supportive networks. Apart from the potential to improve healthcare outcomes, implementing genetic services in Africa presents opportunities and challenges for healthcare and biotech companies. To address gaps in disease awareness, we recommend that healthcare providers should invest in education, collaborate with local institutions, and utilize digital platforms. Furthermore, businesses should explore innovative, cost-effective genetic testing models and create dialog platforms like online forums to positively impact African health care.

摘要

在非洲医疗体系中实施基因医学服务是一个复杂的过程,既带来挑战,也带来机遇。本研究的主要目的是为政策制定者和医疗组织提供基于证据的建议,以帮助确保基因服务成功融入非洲医疗体系。为实现这一目标,我们对2003年至2023年发表的同行评审研究进行了范围综述。这些研究来自PubMed、Scopus和全非洲信息数据库。我们的研究结果基于2016年至2023年进行的八项相关研究,涵盖了六个非洲国家(喀麦隆、肯尼亚、尼日利亚、卢旺达、南非和坦桑尼亚)广泛的基因主题。这些研究确定了非洲医疗体系中基因服务实施存在的若干挑战。这些挑战包括对遗传疾病缺乏认识和教育、基因检测障碍、资源限制、伦理困境以及随访和留存方面的挑战。然而,作者们也强调了成功实施的机遇和策略,强调通过社区参与、宣传和支持网络采取预防措施。除了改善医疗结果的潜力外,在非洲实施基因服务也给医疗和生物技术公司带来了机遇和挑战。为弥补疾病认知方面的差距,我们建议医疗服务提供者应投资于教育、与当地机构合作并利用数字平台。此外,企业应探索创新的、具有成本效益的基因检测模式,并创建在线论坛等对话平台,以对非洲医疗产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8dc/12041751/dab770c8429a/gr1.jpg

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