Challenges to the delivery of clinical diabetes services in Ghana created by the COVID-19 pandemic.

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Services Research & Policy Pub Date : 2023-01-01 DOI:10.1177/13558196221111708
Eunice Twumwaa Tagoe, Justice Nonvignon, Robert van Der Meer, Itamar Megiddo, Brian Godman
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引用次数: 3

Abstract

Objective: The barriers to delivering clinical non-communicable disease services in low- and middle-income countries have risen with the onset of COVID-19. Using Ghana as a case study, this article examines the changes COVID-19 has brought to diabetes service delivery and considers policy responses to deal with future such outbreaks.

Methods: We conducted 18 interviews between November 2020 and February 2021 with health professionals and administrators from primary, secondary and tertiary facilities within the Ghana Health Service. The analysis was performed using deductive and inductive methods.

Results: There were six general themes in interviewees' responses: (1) COVID-19 had exacerbated the problems of high medicine and service costs and medicine shortages, (2) the pandemic had exacerbated problems of poor patient record keeping, (3) COVID-19 had reduced the availability of suitably trained health providers, (4) staff had become demoralized by management's unwillingness to make innovative changes to cope with the pandemic, (5) COVID-19 led to a reorganization of diabetes services, and (6) the country's national health insurance scheme lacked flexibility in dealing with the pandemic.

Conclusions: Access to resources is limited in LMICs. However, our study highlights practical policy responses that can improve health providers' response to COVID-19 and future pandemics.

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COVID-19大流行给加纳提供糖尿病临床服务带来的挑战。
目标:随着COVID-19的爆发,在低收入和中等收入国家提供临床非传染性疾病服务的障碍有所增加。本文以加纳为例,探讨了COVID-19给糖尿病服务提供带来的变化,并考虑了应对未来此类疫情的政策对策。方法:我们在2020年11月至2021年2月期间对来自加纳卫生服务机构的初级、二级和三级设施的卫生专业人员和管理人员进行了18次访谈。分析采用演绎和归纳法进行。结果:受访者的回答有六大主题:(1) COVID-19加剧了医疗和服务成本高企和药品短缺的问题,(2)大流行加剧了患者记录保存不良的问题,(3)COVID-19减少了受过适当培训的卫生服务提供者的可用性,(4)由于管理层不愿做出创新变革以应对大流行,工作人员士气低落,(5)COVID-19导致糖尿病服务的重组。(6)该国的国家医疗保险计划在应对疫情方面缺乏灵活性。结论:中低收入国家获得资源的机会有限。然而,我们的研究强调了可以改善卫生服务提供者对COVID-19和未来大流行的反应的实际政策对策。
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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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