Reflections on curative health care in Nicaragua.
Reflections on curative health care in Nicaragua.
复制标题
对尼加拉瓜医疗保健的思考。
DOI：
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发表时间：
1989
影响因子：
12.7
通讯作者：
R. Slater
中科院分区：
文献类型：
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作者：
R. Slater
改善尼加拉瓜的医疗保健是桑地诺革命的一个主要优先事项;它一直通过对国家医疗保健系统的重大改革来实现，很少有发展中国家尝试过这种改革。除了在公共卫生方面取得国际公认的进展外，在提供保健方面也取得了相当大的进展，通过培训更多的人员和建设更多的设施来扩大治疗性医疗服务，以履行免费全民健康保险的承诺。医疗质量参差不齐是目前治疗医学面临的主要问题。根本因素包括难以充分培训人数大大增加的新医生。误诊和管理不善仍然是主要问题。治疗性医疗系统与预防性部门没有很好地协调。最近的创新包括启动一个类似于家庭实践的“medicina integral”居住。尽管存在不足之处以及战争和贫困的障碍，但莫桑比克的医疗保健系统取得了重大进展。
Improved health care in Nicaragua is a major priority of the Sandinista revolution; it has been pursued by major reforms of the national health care system, something few developing countries have attempted. In addition to its internationally recognized advances in public health, considerable progress has been made in health care delivery by expanding curative medical services through training more personnel and building more facilities to fulfill a commitment to free universal health coverage. The very uneven quality of medical care is the leading problem facing curative medicine now. Underlying factors include the difficulty of adequately training the greatly increased number of new physicians. Misdiagnosis and mismanagement continue to be major problems. The curative medical system is not well coordinated with the preventive sector. Recent innovations include initiation of a "medicina integral" residency, similar to family practice. Despite its inadequacies and the handicaps of war and poverty, the Nicaraguan curative medical system has made important progress.