实施康复创新:建立更健康社会的全球优先事项

B. Amatya, F. Khan
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摘要

随着全球存活率的提高,对非传染性疾病患者、慢性病患者和灾难幸存者(包括大流行病)的保健需求也在增加。许多国家难以满足现有的保健需求,包括康复服务。此外,许多残疾人在获得康复服务方面仍然面临社会经济不平等/不平等。尽管康复需求增加,但由于经济、社会和其他障碍,全球许多国家难以满足现有需求。世界卫生组织(世卫组织)的" 2030年康复:行动呼吁"倡议促进普遍获得康复服务,并将扩大和加强康复服务以及对全球卫生伙伴关系的强有力治理以及当局与公众之间的协调列为优先事项。世卫组织启动了“世卫组织卫生系统康复:行动指南”概念性框架,以便在卫生保健系统内制定和实施有效的康复规划。这一关键资源提供了具体步骤,以引导各国政府通过加强康复系统的做法,特别是在低收入和中等收入国家,分四个关键阶段组织:(i)评估情况;(ii)制订康复策略计划;(三)建立监测、评价和审查程序;(四)战略规划的实施。目标是以可持续和公平的方式将健康轨迹转向康复包容性系统。本文旨在概述残疾和康复方面的主要全球举措,特别强调世卫组织框架和其他可供考虑的创新护理模式。
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Implementation of rehabilitation innovations: A global priority for a healthier society
With improved global survival rates, there is an increased demand for health-care needs for persons with noncommunicable diseases, chronic illnesses, and disaster survivors (including pandemics). Many countries struggle to meet the existing demand for health care, including rehabilitation services. Further, many persons with disability still experience socioeconomic inequity/disparities in accessing rehabilitation services. Despite increased demand for rehabilitation, many countries globally struggle to meet existing demand due to economic, social, and other barriers. The World Health Organization (WHO) initiative “Rehabilitation 2030: A Call for Action” promotes universal access to rehabilitation and prioritizes the scaling-up and strengthening of rehabilitation services and strong governance of global health partnerships and coordination between the authorities and public. The WHO launched a conceptual framework “WHO Rehabilitation in Health Systems: Guide for Action” for the development and implementation of an effective rehabilitation program within the health-care system. This pivotal resource provides detailed steps to lead governments through rehabilitation system strengthening practice specifically in low- and middle-income countries, organized in four key phases: (i) assessment of the situation; (ii) development of a rehabilitation strategic plan; (iii) establishment of the monitoring, evaluation, and review processes; and (iv) implementation of the strategic plan. The goal is to shift health trajectories onto the rehabilitation-inclusive system in a sustainable and equitable path. The article aims to provide an overview of key global initiatives in disability and rehabilitation, exclusively highlighting the WHO framework and other innovative care models for consideration.
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