Worldwide assessment of healthcare personnel dealing with lymphoedema.
Worldwide assessment of healthcare personnel dealing with lymphoedema.
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DOI：
10.1186/s13561-018-0194-6
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发表时间：
2018-04-16
影响因子：
2.4
通讯作者：
Hadamitzky C
中科院分区：
文献类型：
--
作者：
Schulze H;Nacke M;Gutenbrunner C;Hadamitzky C
水肿是一种流行病，全世界约有2.5亿人患有这种疾病。淋巴疾病具有相当大的公共卫生意义，但很少有专业人员专门从事其管理，造成卫生资源的巨大负担。本研究旨在概述各国处理淋巴水肿的医疗专业人员、专业协会、机构和公司的大致数量。考虑了改善现有人力资源的概念。对世界各国进行了在线数据库分析（谷歌搜索引擎和PubMed）。此外，还分析了相关的大会与会者名单以及重要医学会的成员名单和世界卫生组织的报告。专门从事这一领域的高等教育专业人员的总体分布情况参差不齐。发达国家和发展中国家之间以及城市和农村地区之间的专业人员比例呈下降趋势。一般来说，各国似乎尚未满足目前对这一领域高等教育专家的需求。这项研究旨在提请注意目前的医疗覆盖面的差距，由于数量少的淋巴水肿专家在第三级。它希望开始讨论结构化补偿以及知识和技能认证问题，这是激励专家发挥倍增作用并在中期改变缺乏护理状况的重要因素。目前失败的处方和可避免的残疾和疾病证明是一个很高的财政负担，可以再投资于正确的管理。政策制定者必须关注上述两项基本措施。医疗培训和随之而来的行业发展自然会发生，就像过去其他专业团体的情况一样。
Lymphoedema is a pandemic with about 250 million people suffering from this condition worldwide. Lymphatic diseases have considerable public health significance, but yet few professionals are specialised in their management causing a substantial burden on health resources. This study aims to give an overview of the approximate number of medical professionals, professional societies, institutions and companies dealing with lymphoedema in various countries. Concepts of improvement for current human resources are considered. An online database analysis (Google search engine and PubMed) was carried out for each country of the world. Additionally, relevant congress participant lists as well as member lists of significant medical societies and reports of the World Health Organisation were analysed. Overall distribution of tertiary level professionals specialised in this field is heterogenous. A decrescent gradient of professionals can be seen between developed and developing countries and between urban and rural areas. Countries in general do not seem to have yet met the current demand for specialists at tertiary level in this field. This study intends to draw attention to the current medical coverage gaps due to a low number of lymphoedema specialists at tertiary level. It wishes to start a discussion about structured reimbursement and certification of knowledge and skills that are essential incentives for experts to act as multiplicators and change the lack of care in the mid-term. Current fail prescriptions and evitable disability and sick certificates represent a high financial burden that could be reinvested in a correct management. Policy makers must focus in the two above mentioned essential measures. Medical training and the consequent development of the industry will then naturally take place, as it was the case for other professional groups in the past.
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DOI：
10.1016/j.rehab.2013.03.002
发表时间：
2013-07-01
影响因子：
4.6
作者：
Fialka-Moser, V.;Korpan, M.;Christodoulou, N.
通讯作者：
Christodoulou, N.
影响因子：
13.3
作者：
Moffatt, CJ;Franks, PJ;Mortimer, PS
通讯作者：
Mortimer, PS
影响因子：
5.4
作者：
Bandyopadhyay, L
通讯作者：
Bandyopadhyay, L
影响因子：
3.1
作者：
Morgan, Philip A.;Murray, Susie;Honnor, Amanda
通讯作者：
Honnor, Amanda
影响因子：
2.8
作者：
Lu, Shiang-Ru;Hong, Rong-Bin;Hsiao, Pei-Chi
通讯作者：
Hsiao, Pei-Chi