Management of chronic non-communicable diseases in Ghana: a qualitative study using the chronic care model.
Management of chronic non-communicable diseases in Ghana: a qualitative study using the chronic care model.
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DOI：
10.1186/s12889-021-11170-4
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发表时间：
2021-06-11
影响因子：
4.5
通讯作者：
Kumi-Kyereme A
中科院分区：
文献类型：
--
作者：
Amu H;Darteh EKM;Tarkang EE;Kumi-Kyereme A
虽然慢性非传染性疾病的负担和死亡率在撒哈拉以南非洲已经达到流行病的程度，但决策者和个人仍然认为慢性非传染性疾病并不常见，因此没有对其管理给予必要的关注。因此，我们探讨了与患者和卫生专业人员管理非传染性疾病相关的实践和挑战。本研究是一项在82名慢性阻塞性肺病患者和30名卫生专业人员中进行的定性研究。采用面对面深度访谈的方式收集参与者的数据。收集的数据采用专题分析进行分析。卫生专业人员在非传染性疾病管理实践方面的经验包括一般评估，如对患者的教育，以及基于所呈现的非传染性疾病类型和阶段的具体实践。患者的经验主要集中于自我管理做法，包括自我限制、锻炼和使用人体测量设备在家中监测健康状况。后勤不足、工作量大导致的工作压力、公用事业供应差以及患者经济上无力负担管理其病情的费用，这些挑战阻碍了对非传染性疾病的有效管理。无数的挑战阻碍了对非传染性疾病的有效管理。为了加快实现关于减少非传染性疾病导致的过早死亡的可持续发展目标3的进展，加纳卫生服务部门和各医院的管理层应确保改善公用事业供应，充分调动工作人员积极性，并定期进行在职培训。除了由卫生部和国家健康保险局审查国家健康保险计划（NHIS）之外，还应执行一项慢性病护理管理政策，以涵盖所有非传染性疾病的管理。在线版本包含补充材料，可在10.1186/s12889-021-11170-4获得。
While the burden and mortality from chronic non-communicable diseases (CNCDs) have reached epidemic proportions in sub-Saharan Africa (SSA), decision-makers and individuals still consider CNCDs to be infrequent and, therefore, do not pay the needed attention to their management. We, therefore, explored the practices and challenges associated with the management of CNCDs by patients and health professionals. This was a qualitative study among 82 CNCD patients and 30 health professionals. Face-to-face in-depth interviews were used in collecting data from the participants. Data collected were analysed using thematic analysis. Experiences of health professionals regarding CNCD management practices involved general assessments such as education of patients, and specific practices based on type and stage of CNCDs presented. Patients’ experiences mainly centred on self-management practices which comprised self-restrictions, exercise, and the use of anthropometric equipment to monitor health status at home. Inadequate logistics, work-related stress due to heavy workload, poor utility supply, and financial incapability of patients to afford the cost of managing their conditions were challenges that militated against the effective management of CNCDs. A myriad of challenges inhibits the effective management of CNCDs. To accelerate progress towards meeting the Sustainable Development Goal 3 on reducing premature mortality from CNCDs, the Ghana Health Service and management of the respective hospitals should ensure improved utility supply, adequate staff motivation, and regular in-service training. A chronic care management policy should also be implemented in addition to the review of the country’s National Health Insurance Scheme (NHIS) by the Ministry of Health and the National Health Insurance Authority to cover the management of all CNCDs. The online version contains supplementary material available at 10.1186/s12889-021-11170-4.
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DOI：
10.1053/j.jrn.2014.07.008
发表时间：
2015-03
期刊：
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
影响因子：
--
作者：
Crews DC;Kuczmarski MF;Miller ER 3rd;Zonderman AB;Evans MK;Powe NR
通讯作者：
Powe NR
影响因子：
4.5
作者：
de-Graft Aikins A;Kushitor M;Koram K;Gyamfi S;Ogedegbe G
通讯作者：
Ogedegbe G
影响因子：
120.7
作者：
Bodenheimer, T;Wagner, EH;Grumbach, K
通讯作者：
Grumbach, K
影响因子：
7.2
作者：
Dugee, Otgontuya;Palam, Enkhtuya;Mahal, Ajay
通讯作者：
Mahal, Ajay
影响因子：
12.7
作者：
Grady, Patricia A.;Gough, Lisa Lucio
通讯作者：
Gough, Lisa Lucio