PAs in Ghana: A rich tradition with a hopeful future.

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI:10.1097/01.JAA.0000000000000180
Anthony Asare Arkoh, Jennifer Coombs, Sharon Talboys
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Abstract

Abstract: The West African country of Ghana boasts a stable democracy and diverse culture. Although strides have been made in education and healthcare access, challenges persist, particularly in rural communities. The physician associate (PA) profession emerged in the 1960s to address healthcare shortages, with formal training programs established and accreditation overseen by the Ghana Tertiary Education Commission and the Medical and Dental Council. PAs play a critical role in healthcare delivery, providing services in both urban and rural areas. Ghana's healthcare system, while advancing, is concentrated in urban centers, necessitating task-sharing strategies for improved access. Health outcomes have improved, but maternal and child mortality remain high. PAs contribute significantly to Ghana's healthcare system, including reproductive health and primary care services, alongside efforts to combat epidemics such as COVID-19. Key concerns for PAs include career progression, resource allocation, and public understanding of their role. Despite challenges, PAs remain essential in providing care to underserved populations. Addressing concerns and supporting PAs are vital for sustainable and effective healthcare in Ghana.

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加纳的PAs:丰富的传统和充满希望的未来。
摘要:西非国家加纳拥有稳定的民主制度和多元的文化。虽然加纳在教育和医疗服务方面取得了长足进步,但挑战依然存在,尤其是在农村社区。20 世纪 60 年代,为解决医疗服务短缺问题,加纳高等教育委员会和医学与牙科委员会设立了正规的培训项目并对其进行认证,从而出现了助理医师(PA)这一职业。助理医师在医疗保健服务中发挥着关键作用,为城市和农村地区提供服务。加纳的医疗保健系统虽然在不断进步,但主要集中在城市中心,因此有必要采取任务分担战略,以改善就医情况。健康状况有所改善,但孕产妇和儿童死亡率仍然居高不下。专业医生为加纳的医疗保健系统做出了巨大贡献,包括生殖健康和初级保健服务,以及防治 COVID-19 等流行病的工作。专业医师所关注的主要问题包括职业发展、资源分配以及公众对其作用的理解。尽管存在挑战,但专业医师在为得不到充分服务的人群提供医疗服务方面仍然至关重要。解决 PAs 所关注的问题并为其提供支持对于加纳可持续和有效的医疗保健至关重要。
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来源期刊
CiteScore
1.20
自引率
9.10%
发文量
310
期刊介绍: ​​​JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues. Published monthly, JAAPA''s award-winning editorial includes: -Clinical review articles (with AAPA-approved Category I CME in each issue)- Case reports- Clinical departments- Original health services research- Articles on issues of professional interest to PAs
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