| Autor: |
Hoxha I; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USA.; Evidence Synthesis Group, 10000 Prishtina, Kosovo.; Research Unit, Heimerer College, 10000 Prishtina, Kosovo., Apuk V; Evidence Synthesis Group, 10000 Prishtina, Kosovo.; Swiss Tropical Public Health Institute, 4000 Basel, Switzerland., Kryeziu B; National Institute of Public Health of Kosovo, 10000 Prishtina, Kosovo., Rashiti P; Emergency Clinic, University Clinical Center of Kosovo, 10000 Prishtina, Kosovo., Aliu M; The World Bank, 10000 Prishtina, Kosovo., Aquines AG; Faculty of Health Studies, University of Bradford, Bradford BD7 1DP, UK., Khan O; The World Bank, 1020 Vienna, Austria., Nguyen HTH; The World Bank, 1020 Vienna, Austria. |
| Abstrakt: |
Background-Non-communicable diseases (NCDs) affect a growing share of the population in Kosovo. The country faces challenges with NCDs management, specifically detecting, screening, and treating people with NCDs. Objective-To assess the management of NCDs, including the inputs that influence the provision of NCDs and outcomes of NCD management. Eligibility criteria-Studies had to report NCD management in Kosovo. Sources of evidence-We systematically searched Google Scholar, PubMed, Scopus, and Web of Science. Charting methods-The data were charted by two researchers. We extracted data on general study details and design and information on the management and outcomes of NCDs in Kosovo. Synthesis of results-For the mix of studies that were included in the review, thematic narrative synthesis was used. We developed a conceptual framework based on health production core components to analyze the data. Results-Kosovo's health care system is available to provide basic care for patients with NCDs. However, there are serious limitations in the availability of key inputs providing care, i.e., funding, medicines, supplies, and medical staff. Additionally, in terms of the management of NCDs, there are areas for improvement, such as limited application of clinical pathways and guidelines and issues with referrals of patients among levels and sectors of care. Finally, it is worth noting that there is overall limited information on NCD management and outcomes. Conclusions-Kosovo provides only basic services and treatment of NCDs. The data reporting the existing situation on NCD management are limited. The inputs from this review are helpful for existing policy efforts by the government aimed to enhance NCD care in Kosovo. Funding-This study is part of the research done for a World Bank review of the state of NCDs in Kosovo and was funded through the Access Accelerated Trust Fund (P170638). |
