サハラ以南のアフリカの糖尿病のケア
1International Insulin Foundation, International Health and Medical Education Centre, University College London, London N19 5LW, UK. david.beran@access2insulin.org
Lancet (London, England)
|November 14, 2006
まとめ
2型糖尿病は,特にサハラ以南のアフリカでは,世界的な健康問題として増加しています. 限られたリソースは,効果的な糖尿病治療を妨げ,重度の合併症を引き起こし,1型および2型糖尿病患者の平均寿命を短くします.
科学分野:
- 公衆衛生は公衆衛生である.
- エンドクリノロジー エンドクリノロジー
- グローバル・ヘルス グローバル・ヘルス
背景:
- 2型糖尿病の世界的な流行の増加は,重大な健康上の課題を提示しています.
- サハラ以南のアフリカは,伝染病による資源競争を含むユニークな障害に直面しています.
- 資金と人材の不足は,糖尿病の合併症を悪化させ,地域の平均寿命を短縮します.
研究 の 目的:
- サハラ以南のアフリカにおける糖尿病の治療に関する現在の証拠をレビューする.
- 地域の糖尿病管理における課題とギャップを特定する.
- 糖尿病の治療成果を改善するための包括的な行動計画を提案する.
主な方法:
- サハラ以南のアフリカの糖尿病管理に関する既存の文献の体系的なレビュー.
- 糖尿病ケアに影響を与える資源配分と医療インフラストラクチャの分析.
- 地域改善のための証拠に基づいた,実行可能な計画の策定.
主要な成果:
- 証拠は,糖尿病の治療の質とアクセシビリティにおいて大きな格差を示しています.
- 資源の不足は,患者の不良の結果と高い死亡率と直接相関しています.
- 現在のケアモデルは,糖尿病の増大する負担に対応するのに不十分です.
結論:
- サハラ以南のアフリカで糖尿病の危機に対処するために,緊急で標的を絞った介入が必要である.
- 糖尿病の予防,診断,管理を強化するための11項目のアクションプランが提案されています.
- 地域の糖尿病患者の長期的な健康状態を改善するために,協力的な努力が不可欠です.
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