Integrated management of childhood illness: what have we learned and how can it be improved?
Integrated management of childhood illness: what have we learned and how can it be improved?
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DOI：
10.1136/archdischild-2011-301191
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发表时间：
2012-04-01
影响因子：
5.2
通讯作者：
Wolfheim, Cathy
中科院分区：
文献类型：
--
作者：
Chopra, Mickey;Binkin, Nancy J.;Wolfheim, Cathy
儿童疾病综合管理是世卫组织和儿童基金会在1990年代中期制定的一项战略，旨在降低5岁以下儿童死亡率。它针对死亡率>40/1000活产的国家，已被100多个国家采用。多次评价表明，儿童疾病综合管理可以提高患病儿童的临床护理质量，但覆盖率很少达到足够高的水平，无法实现预期的死亡率降低。在本文中，我们讨论了为什么儿童疾病综合管理没有充分发挥其潜力的原因，已经做了什么来解决这些问题，以及如何重新定位，以实现其最初的目标。
Integrated management of childhood illness (IMCI) was developed by the WHO and UNICEF in the mid-1990s as a strategy to reduce under-five mortality. Aimed at countries with mortalities >40/1000 live births, it has been adopted by more than 100 countries. Repeated evaluations have demonstrated that IMCI can improve the quality of clinical care for sick children, but coverage has rarely reached high enough levels to achieve the expected reductions in mortality. In this paper, we discuss the reasons why IMCI has fallen short of its full potential, what has already been done to address some of these issues, and how it could be repositioned to achieve its original goals.