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Improving the implementation of a package of essential noncommunicable (PEN) disease interventions in Kyrgyzstan: mixed methods service evaluation of pilot health centres / Collins, Dylan;Farrington, Jill;Kontsevaya, Anna;Altymysheva, Alina

Tác giả : Collins, Dylan;Farrington, Jill;Kontsevaya, Anna;Altymysheva, Alina

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2017

Chủ đề : 1. Cardiovascular Diseases -- prevention and control. 2. Chronic Disease. 3. Delivery of Health Care. 4. Health Services. 5. Kyrgyzstan. 6. Primary Health Care -- methods. 7. Program Evaluation. 8. Technical documents.

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v, 10 p. WHO has defined a minimum set of essential NCD interventions to be implemented in primary health care (PHC) in low-resource settingsin its package of essential noncommunicable (PEN) disease interventions. Kyrgyzstan has been piloting the implementation of PENprotocols since 2014. During late 2016, WHO carried out a quantitative evaluation of their implementation in family medical centres after12 months. While it was possible to ascertain the costs incurred in implementation, it was not possible to demonstrate effectiveness.WHO followed up with this qualitative evaluation. An analysis of interviews with 30 PHC staff in five PEN pilot clinics revealed 11exploratory themes indicating, for example, that clinicians were not confident or proficient in using risk prediction charts/scores and werenot using risk stratification to inform management. This may be explained by lack of training, lack of time, lack of human resources, lackof supportive technologies and lack of patient materials. These exploratory themes were integrated with the quantitative findings andpotential areas for further exploration to improve the implementation of cardiovascular risk assessment and management in Kyrgyzstan.These include: adjustment of the training model; adaptation/redesign of the cardiovascular risk assessment pathway with supportivetechnologies; a systematic approach to identifying, recruiting and following up the target population; and support for PHC interventionswith community and population interventions and communication campaigns to reinforce the message of prevention.

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Thư viện	Ký hiệu xếp giá	Dữ liệu nguồn
Tổ chức y tế thế giới		https://iris.who.int/handle/10665/375458

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245	__	$aImproving the implementation of a package of essential noncommunicable (PEN) disease interventions in Kyrgyzstan: mixed methods service evaluation of pilot health centres /$cCollins, Dylan;Farrington, Jill;Kontsevaya, Anna;Altymysheva, Alina
260	__	$bWorld Health Organization. Regional Office for Europe ,$c2017
520	__	$av, 10 p.
520	__	$aWHO has defined a minimum set of essential NCD interventions to be implemented in primary health care (PHC) in low-resource settingsin its package of essential noncommunicable (PEN) disease interventions. Kyrgyzstan has been piloting the implementation of PENprotocols since 2014. During late 2016, WHO carried out a quantitative evaluation of their implementation in family medical centres after12 months. While it was possible to ascertain the costs incurred in implementation, it was not possible to demonstrate effectiveness.WHO followed up with this qualitative evaluation. An analysis of interviews with 30 PHC staff in five PEN pilot clinics revealed 11exploratory themes indicating, for example, that clinicians were not confident or proficient in using risk prediction charts/scores and werenot using risk stratification to inform management. This may be explained by lack of training, lack of time, lack of human resources, lackof supportive technologies and lack of patient materials. These exploratory themes were integrated with the quantitative findings andpotential areas for further exploration to improve the implementation of cardiovascular risk assessment and management in Kyrgyzstan.These include: adjustment of the training model; adaptation/redesign of the cardiovascular risk assessment pathway with supportivetechnologies; a systematic approach to identifying, recruiting and following up the target population; and support for PHC interventionswith community and population interventions and communication campaigns to reinforce the message of prevention.
650	_2	$aCardiovascular Diseases $xprevention and control
650	_2	$aPrimary Health Care $xmethods
650	_2	$aChronic Disease
650	_2	$aDelivery of Health Care
650	_2	$aHealth Services
650	_2	$aProgram Evaluation
650	_2	$aKyrgyzstan
655	__	$aTechnical documents
700	__	$aFarrington, Jill
700	__	$aKontsevaya, Anna
700	__	$aAltymysheva, Alina
856	__	$uhttps://iris.who.int/handle/10665/375458
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Improving the implementation of a package of essential noncommunicable (PEN) disease interventions in Kyrgyzstan: mixed methods service evaluation of pilot health centres / Collins, Dylan;Farrington, Jill;Kontsevaya, Anna;Altymysheva, Alina

Thông tin dữ liệu nguồn

Tài liệu cùng tác giả

Implementation of a package of essential noncommunicable (PEN) disease interventions in Kyrgyzstan: evaluation of effects and costs in Bishkek after one year / Kontsevaya, Anna;Farrington, Jill

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