Pathology services in developing countries: a challenge.
Pathology services in developing countries: a challenge.
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发展中国家的病理学服务：挑战。
DOI：
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发表时间：
2009
影响因子：
4.6
通讯作者：
I. Roy
中科院分区：
文献类型：
--
作者：
H. Benediktsson;John Whitelaw;I. Roy
发展中国家的病理学实践--地球上大多数人口生活在那里--对西方训练有素的医生提出了特殊的挑战，他们习惯于发达国家普遍存在的高生活水平、长寿命和可预测的疾病模式。随着我们病理学实验室技术的突飞猛进，我们微调诊断的能力得到磨练，随着医疗变得更加个性化，而许多发展中国家甚至难以提供最基本的病理学服务，这种医疗差距将不可避免地进一步扩大。这激发了许多病理学家和卫生专业人员试图弥合差距。美国和加拿大以及许多其他发达国家都有一些重要的此类举措。然而，当地的局势往往很复杂，这些努力可能会遇到从教育和文化到经济和政治等各个方面的挑战。这对于病理学家来说可能尤其令人生畏，因为他们受过高度训练，可以对与个体患者、特定疾病或病理生物学现象有关的问题进行专业和复杂的分析。我们的训练使我们在处理发展中国家面临的社会问题方面做得不那么好。这些挑战并非病理学家或医生所独有。发达世界长期以来一直在努力解决援助的实际和理论问题，并在这方面作出了巨大努力。据估计，2.3万亿美元已用于各种援助，
T practice of pathology in the developing world— where the majority of the earth’s population lives— presents special challenges for the Western-trained physician accustomed to the high standard of living, long life expectancy, and predictable disease patterns that are prevalent in the developed world. This health care gap will inevitably widen even further as sophistication of technology in our pathology laboratories increases by leaps and bounds, our ability to fine-tune diagnoses is honed, and as medicine becomes more personalized, while many developing countries struggle to provide even the most basic pathology services. This has inspired many pathologists and health professionals to attempt to bridge the gap. Several important such initiatives exist in the United States and Canada, as well as in many other developed countries. However, the situation on the ground is frequently complex, and such efforts may encounter challenges that cover the spectrum from the educational and cultural, to the economic and political. This may be especially daunting for pathologists who are highly trained to perform specialized and sophisticated analyses on problems that relate to the individual patient, to particular diseases, or to pathobiologic phenomena. Our training prepares us less well to deal with societal issues such as those that face the developing world. These challenges are not unique to pathologists or indeed to physicians. The developed world has long struggled with both the practical and the theoretical aspects of aid, and great efforts have been made in this regard. It is estimated that $2.3 trillion has been spent on various aid