Tolulope Kehinde,Jesse Biwott,Gregory Sund,J Matthew Kynes
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引用次数: 0
摘要
随着全球疾病负担从传染性疾病转向非传染性疾病和与创伤有关的衰弱,全球医疗保健界越来越多地倡导公平获得外科服务。这些关注主要集中在通过扩大临床培训计划和研究资源来加强临床和研究方面的专业知识。然而,尽管包括医疗器械在内的设备在安全的临床护理中发挥着至关重要的作用,但人们对可持续地弥合全球卫生领域存在的生物医学和技术差距的关注却相对较少。尽管缩小这些差距的目标是采用本地驱动的解决方案,但在许多情况下,高收入国家的机构与低收入和中等收入国家的机构之间目前仍然需要建立合作伙伴关系。因此,本视点以 "健康伙伴"(Partners In Health)的 "五S"(人员、物资、空间、系统和社会支持)框架为指导,为希望扩大或开始全球健康计划的机构提供生物医学工程方面的指导。我们首先关注涉及人员、物资和空间的倡议,通过一系列问题和可操作的建议,鼓励机构询问、倾听和支持。然后,我们敦促各机构加强系统和社会支持,强调需要更广泛的社会支架来支持和维持超越最初努力的举措。
Machines matter too: including biomedical engineering partnerships in global health initiatives.
As the global burden of disease shifts from communicable to non-communicable diseases and trauma-related debility, the global health-care community has increasingly advocated for equitable access to surgical services. Much of this attention has focused on bolstering clinical and research expertise through the expansion of clinical training programmes and research resources. However, despite the crucial role of equipment, including medical devices, in safe clinical care, comparatively little attention has been paid to sustainably bridging the biomedical and technical gaps that exist in global health. Although closing these gaps with locally driven solutions is the goal, the reality in many settings is that partnerships between institutions in high-income countries and low-income and middle-income countries currently remain necessary. Thus, this Viewpoint provides guidelines conscious to biomedical engineering for institutions looking to expand or begin global health initiatives with the Partners In Health Five S's-staff, stuff, space, systems, and social support-framework for health systems strengthening as a guide. We focus first on initiatives involving staff, stuff, and space, encouraging institutions to ask, listen, and enable, through a set of questions and actionable recommendations. Then, we urge institutions to strengthen systems and social support, underscoring the need for wider societal scaffolding to support and sustain initiatives beyond initial efforts.
期刊介绍:
The Lancet Global Health is an online publication that releases monthly open access (subscription-free) issues.Each issue includes original research, commentary, and correspondence.In addition to this, the publication also provides regular blog posts.
The main focus of The Lancet Global Health is on disadvantaged populations, which can include both entire economic regions and marginalized groups within prosperous nations.The publication prefers to cover topics related to reproductive, maternal, neonatal, child, and adolescent health; infectious diseases (including neglected tropical diseases); non-communicable diseases; mental health; the global health workforce; health systems; surgery; and health policy.