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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Promoting a Culture of Prevention in Albania: the 'Si Je?' Program
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Promoting a Culture of Prevention in Albania: the 'Si Je?' Program

机译：促进阿尔巴尼亚的预防文化：“Si Je？” 程序

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Albania is a small country on the Balkan Peninsula that recently implemented an innovative primary healthcare program called "Si Je?" (How are you?) which allowed all Albanians aged 40-65 years to receive a free, yearly basic health examination at their local health center. Access to basic primary care is a critical component of a nationwide culture of prevention particularly for the non-communicable diseases that comprise 89% of total deaths in the country. Yet, as in many middle-income countries, a culture of prevention in Albania is often secondary to ensuring basic health infrastructure and healthcare access for those critically in need. Using the social-ecological model as our conceptual framework, this paper provides new insights into the culture of prevention in Albania by analyzing the need for, and implementation of, the Si Je? program using (1) findings from a critical literature review, (2) quantitative data from the database created from this program, and (3) qualitative data from key informant interviews from 15 health center directors. Positive developments towards a culture of prevention include the fact that the Si Je? program has been expanded to those 35-70 years, strengthened links between community and primary care, and participation among rural communities who traditionally have limited primary care access. Challenges include continued urgent health infrastructure needs, politicization of the Si Je? effort, limited participation by some groups (particularly urban men), and regional variations. Despite challenges, Albania appears to be building new infrastructure for a sustainable culture of prevention, particularly around chronic disease.
机译：阿尔巴尼亚是巴尔干半岛上的一个小国，最近实施了一个名为“Si-Je”的创新性初级保健计划（你好吗？）该法案允许所有年龄在40-65岁之间的阿尔巴尼亚人每年在当地卫生中心接受一次免费的基本健康检查。获得基本初级保健是全国预防文化的一个重要组成部分，特别是对于占全国总死亡人数89%的非传染性疾病。然而，与许多中等收入国家一样，阿尔巴尼亚的预防文化往往次于确保基本卫生基础设施和为急需者提供医疗服务。本文将社会生态模型作为我们的概念框架，通过分析Si Je？的需要和实施，为阿尔巴尼亚的预防文化提供了新的见解？项目使用（1）来自批评性文献综述的结果，（2）来自该项目创建的数据库的定量数据，以及（3）来自15名健康中心主任的关键线人访谈的定性数据。预防文化的积极发展包括以下事实：？该项目已经扩展到35-70年，加强了社区和初级保健之间的联系，以及传统上初级保健服务有限的农村社区的参与。挑战包括持续的紧急卫生基础设施需求、Si-Je的政治化？一些群体（尤其是城市男性）的参与有限，以及地区差异。尽管面临挑战，阿尔巴尼亚似乎正在为可持续的预防文化建设新的基础设施，特别是围绕慢性病。

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