دورية أكاديمية
Protocol for an evaluation of the initiation of an integrated longitudinal outpatient care model for severe chronic non-communicable diseases (PEN-Plus) at secondary care facilities (district hospitals) in 10 lower-income countries.
| العنوان: | Protocol for an evaluation of the initiation of an integrated longitudinal outpatient care model for severe chronic non-communicable diseases (PEN-Plus) at secondary care facilities (district hospitals) in 10 lower-income countries. |
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| المؤلفون: | Adler AJ; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA aadler2@bwh.harvard.edu., Wroe EB; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Partners In Health, Boston, Massachusetts, USA., Atzori A; Doctors with Africa CUAMM, Padova, Italy., Bay N; Universidade Eduardo Mondlane, Maputo, Mozambique., Bekele W; Mathiwos Wondu-Ye Ethiopia Cancer Society, Addis Ababa, Ethiopia., Bhambhani VM; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Nkwiro RB; Partners In Health Sierra Leone, Kono, Sierra Leone., Boudreaux C; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Calixte D; Zamni Lasante, Croix-des-Bouquets, Haiti., Chiwanda Banda J; NCD Division, Ministry of Health, Lilongwe, Malawi., Coates MM; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Dagnaw WW; NCDI Poverty Network, Addis Ababa, Ethiopia., Domingues K; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Drown L; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Dusabeyezu S; Partners In Health/Inshuti Mu Buzima, Rwinkwavu, Rwanda., Fenelon D; Zamni Lasante, Croix-des-Bouquets, Haiti., Gupta N; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Partners In Health, Boston, Massachusetts, USA., Ssinabulya I; Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda., Jain Y; NCDI Poverty Network, Surguja, Chhattisgarh, India., Kalkonde Y; Chhattisgarh NCD Plus Initiative, Ambikapur, Chhattisgarh, India., Kamali I; Partners In Health/Inshuti Mu Buzima, Rwinkwavu, Rwanda., Karekezi C; Non-Communicable Diseases Alliance Kenya, Nairobi, Kenya., Karmacharya BM; Cardiovascular Health Research Unit, University of Washington, Seattle, Washington, USA.; School of Medical Sciences, Kathmandu University, Kathmandu, Nepal., Koirala B; Kathmandu Institute of Child Health, Kathmandu, Nepal., Makani J; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Manenti F; Doctors with Africa CUAMM, Padova, Italy., Mangwiro A; Clinton Health Access Initiative, Harare, Zimbabwe., Manuel B; Department of Community Health, Universidade Eduardo Mondlane, Maputo, Mozambique., Masiye JK; Noncommunicable Diseases and Mental Health Clinical Services, Malawi Ministry of Health, Lilongwe, Malawi., Goma FM; Centre for Infectious Diseases Research in Zambia, Lusaka, Zambia., Mayige MT; National Institute for Medical Research, Dar es Salaam, Tanzania., McLaughlin A; Partners In Health, Boston, Massachusetts, USA., Mensah E; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Salipa NM; Universidade Eduardo Mondlane, Maputo, Mozambique., Mutagaywa R; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.; Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Mutengerere A; SolidarMed, Harare, Zimbabwe., Ngoga G; Partners In Health/Inshuti Mu Buzima, Rwinkwavu, Rwanda., Patiño M; Partners In Health Sierra Leone, Kono, Sierra Leone., Putoto G; Doctors with Africa CUAMM, Padova, Italy., Ruderman T; Partners In Health, Neno, Malawi., Salvi D; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA., Sesay S; Noncommunicable Diseases and Mental Health, Sierra Leone Ministry of Health and Sanitation, Freetown, Sierra Leone., Taero F; Mozambique Institute for Health Education and Research, Maputo, Mozambique., Tostão E; Department of Agricultural Economics and Development, Universidade Eduardo Mondlane, Maputo, Mozambique., Toussaint S; Partners In Health, Maryland County, Liberia., Bukhman G; Center for Integration Science, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Partners In Health, Boston, Massachusetts, USA., Mocumbi AO; Universidade Eduardo Mondlane, Maputo, Mozambique.; Instituto Nacional de Saúde, Maputo, Mozambique. |
| مؤلفون مشاركون: | PEN-Plus Partnership study group |
| المصدر: | BMJ open [BMJ Open] 2024 Jan 30; Vol. 14 (1), pp. e074182. Date of Electronic Publication: 2024 Jan 30. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| مواضيع طبية MeSH: | Noncommunicable Diseases*/epidemiology , Noncommunicable Diseases*/therapy, Humans ; Hospitals, District ; Secondary Care Centers ; Ambulatory Care ; India/epidemiology |
| مستخلص: | Introduction: The Package of Essential Noncommunicable Disease Interventions-Plus (PEN-Plus) is a strategy decentralising care for severe non-communicable diseases (NCDs) including type 1 diabetes, rheumatic heart disease and sickle cell disease, to increase access to care. In the PEN-Plus model, mid-level clinicians in intermediary facilities in low and lower middle income countries are trained to provide integrated care for conditions where services traditionally were only available at tertiary referral facilities. For the upcoming phase of activities, 18 first-level hospitals in 9 countries and 1 state in India were selected for PEN-Plus expansion and will treat a variety of severe NCDs. Over 3 years, the countries and state are expected to: (1) establish PEN-Plus clinics in one or two district hospitals, (2) support these clinics to mature into training sites in preparation for national or state-level scale-up, and (3) work with the national or state-level stakeholders to describe, measure and advocate for PEN-Plus to support development of a national operational plan for scale-up. Methods and Analysis: Guided by Proctor outcomes for implementation research, we are conducting a mixed-method evaluation consisting of 10 components to understand outcomes in clinical implementation, training and policy development. Data will be collected through a mix of quantitative surveys, routine reporting, routine clinical data and qualitative interviews. Ethics and Dissemination: This protocol has been considered exempt or covered by central and local institutional review boards. Findings will be disseminated throughout the project's course, including through quarterly M&E discussions, semiannual formative assessments, dashboard mapping of progress, quarterly newsletters, regular feedback loops with national stakeholders and publication in peer-reviewed journals. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
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| فهرسة مساهمة: | Investigator: A Gadewar; S Jadhao; Y Kalkonde; C Malik; A Adler; V Bhambhani; C Boudreaux; L Brown; G Bukhman; MM Coates; WW Dagnaw; L Drown; S Donnellan; G Ferrari; A Gomber; N Gupta; Y Jain; K Domingues; S Klassen; G Kwan; A Marx; R McBain; A McLaughlin; E Mensah; G Ngoga; M Olsen; C Player; R Ruiz; D Salvi; A Thapa; C Trujillo; L Wentworth; A Westervelt; A Wolgin; EB Wroe; E Yale; M Abiyu; L Ayele; W Bekele; Z Mengistu; T Sileshi; N Alemayehu; NA Abebe; D Calixte; D Fenelon; N Larco; C Karekezi; G Ayodo; G Gathecha; P Mokaya; L Mbau; Z Ali; S Toussaint; J Masiye; T Ruderman; C Kachimanga; E Chibwe; N Kasomekera; A Mocumbi; E Tostão; B Manuel; N Bay; S Patel; H Muquingue; S Chicumbe; NM Salipa; R Rafik; L Ramirez; A Atzori; F Manenti; G Putoto; S Adhikary; K Aryal; P Baral; M Dhimal; B Karmachaya; B Koirala; A Shrestha; A Shrestha; A Vaidhya; S Dusabeyezu; I Kamali; RB Nkwiro; M Patiño; S Sesay; M Mayige; R Mutagaywa; J Makani; I Ssinabulya; A Akiteng; R Kalyesubula; F Mugabe; SA Eragu; B Bukar; R Chilengi; FM Goma; N Siyumbwa; W Mutale; K Madzeke; A Mangwiro; A Mbiriri; A Mutengerere; N Wencelas; P Nyawai; A Svisva; L Ruckstuhl; L Gonzalez Keywords: Adolescent; General diabetes; HAEMATOLOGY; Health Equity; Heart failure; International health services |
| تواريخ الأحداث: | Date Created: 20240131 Date Completed: 20240214 Latest Revision: 20240214 |
| رمز التحديث: | 20240214 |
| مُعرف محوري في PubMed: | PMC10828858 |
| DOI: | 10.1136/bmjopen-2023-074182 |
| PMID: | 38296295 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2044-6055 |
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| DOI: | 10.1136/bmjopen-2023-074182 |