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インドにおける慢性疾患と負傷
Vikram Patel1, Somnath Chatterji, Dan Chisholm
1Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. vikram.patel@lshtm.ac.uk
Lancet (London, England)
|January 14, 2011
まとめ
慢性疾患と怪我は,インドにおける死亡と障害の主な原因であり,貧困層と農村部の人々に不均衡な影響を及ぼしています. 公共および民間セクターを通じて費用対効果の高い介入の緊急な拡大は,普遍的な保健医療に不可欠です.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 保健政策 保健政策 保健政策
背景:
- 慢性疾患と怪我は,インドにおける死亡と障害の主な原因です.
- これらの条件は,貧困層や農村部の人々に不釣り合いな影響を及ぼし,しばしば同時に発生します.
- 現在,費用対効果の高い予防戦略の普及率は低く,民間セクターの医療費は高い.
研究 の 目的:
- インドにおける慢性疾患と怪我の負担が増えていることを強調する.
- 介入の即時拡大を提唱する.
- 強化された保健システムと政策枠組みの必要性を強調する.
主な方法:
- 疾病負担の動向の分析.
- 既存の予防と介入戦略のレビュー.
- 保健システム統合と社会/政策の枠組みに関する政策分析.
主要な成果:
- 慢性疾患や怪我は,インドでは,大きく増大する負担を担っています.
- 費用対効果の高い介入は存在するが,特に脆弱な集団において,その範囲は低い.
- 民間セクターでの医療はしばしば高価であり,公衆衛生システムの改善が必要である.
結論:
- 慢性疾患や傷害に対する介入の規模を拡大するために,緊急の措置が必要である.
- 公衆衛生と初等医療制度の強化は不可欠である.
- 税制とプログラム統合を含む政策の変更は,効果的な管理と普遍的な医療のために不可欠です.
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