背景:将遗传服务纳入非洲医疗保健系统是一项多方面的努力,既有障碍也有前景。这项研究旨在为决策者和医疗保健实体提供基于证据的建议,以促进非洲医疗保健系统内遗传服务的有效吸收。方法:采用范围审查方法,我们审查了2003年至2023年的同行评审研究,来自PubMed,Scopus,和非洲范围的数据库。我们的分析借鉴了2016年至2023年之间进行的八项相关研究,涵盖了六个非洲国家的不同遗传主题。即喀麦隆,肯尼亚,尼日利亚,卢旺达,南非,坦桑尼亚。结果:审查的研究强调了阻碍非洲医疗保健系统实施遗传服务的众多挑战。这些障碍包括疾病意识和教育方面的不足,基因检测的障碍,资源稀缺,道德困境,以及与后续行动和保留有关的问题。然而,作者还确定了有利于成功整合的机会和策略,强调积极的措施,如社区参与,倡导,以及支持性网络的培育。结论:非洲遗传服务的整合有望改善医疗保健成果,但也为医疗保健和生物技术企业带来了挑战和机遇。为了解决疾病认识方面的差距,我们倡导医疗保健提供者投资于教育计划,与当地机构建立伙伴关系,并利用数字平台。此外,我们敦促企业创新和设计具有成本效益的基因检测模型,同时建立在线论坛,以促进对话并为非洲医疗保健做出积极贡献。
UNASSIGNED: The integration of genetic services into African healthcare systems is a multifaceted endeavor marked by both obstacles and prospects. This study aims to furnish evidence-based recommendations for policymakers and healthcare entities to facilitate the effective assimilation of genetic services within African healthcare systems.
UNASSIGNED: Employing a scoping review methodology, we scrutinized peer-reviewed studies spanning from 2003 to 2023, sourced from PubMed, Scopus, and Africa-wide databases. Our analysis drew upon eight pertinent research studies conducted between 2016 and 2023, encompassing diverse genetic topics across six African nations, namely Cameroon, Kenya, Nigeria, Rwanda, South Africa, and Tanzania.
UNASSIGNED: The reviewed studies underscored numerous challenges hindering the implementation of genetic services in African healthcare systems. These obstacles encompassed deficiencies in disease awareness and education, impediments to genetic testing, resource scarcities, ethical quandaries, and issues related to follow-up and retention. Nevertheless, the authors also identified opportunities and strategies conducive to successful integration, emphasizing proactive measures such as community engagement, advocacy, and the fostering of supportive networks.
UNASSIGNED: The integration of genetic services in Africa holds promise for enhancing healthcare outcomes but also poses challenges and opportunities for healthcare and biotechnology enterprises. To address gaps in disease awareness, we advocate for healthcare providers to invest in educational initiatives, forge partnerships with local institutions, and leverage digital platforms. Furthermore, we urge businesses to innovate and devise cost-effective genetic testing models while establishing online forums to promote dialogue and contribute positively to African healthcare.