慢性疾病的全球负担:克服预防和控制障碍
Derek Yach1, Corinna Hawkes, C Linn Gould
1World Health Organization, Geneva, Switzerland. yachd@who.int
JAMA
|June 3, 2004
概括
慢性疾病导致全球数百万人死亡. 一个协调的政策方法,更好的证据和卫生系统的变化对于应对这种日益严重的全球卫生危机至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 慢性疾病是全球死亡的主要原因,在2002年造成2900万人的死亡.
- 尽管慢性病具有重大流行病学和经济影响,但全球对慢性病的应对仍然不足.
- 资金支持不足和对慢性疾病的误解阻碍了预防和治疗,特别是在发展中国家.
研究的目的:
- 确定解决全球慢性病负担的关键障碍.
- 提出政策杆,将慢性疾病提升到全球卫生议程上.
- 倡导基于证据的战略和卫生系统改革,以控制慢性疾病.
主要方法:
- 全球慢性病负担和应对措施的分析.
- 识别与政策相关的障碍和利益相关者的角色.
- 关于战略政策干预的建议.
主要成果:
- 缺乏证据,误解和卫生系统对急性护理的倾向阻碍了进展.
- 发展中国家的财政限制限制了预防,治疗和研究的能力.
- 确定了三个政策杆:提升议程,提供更好的证据和促进卫生系统变革.
结论:
- 一种协调,战略和多部门的政策方法对于扭转全球慢性病发病率的负面趋势至关重要.
- 改善对最新证据的获取对于决策者来说至关重要.
- 卫生系统必须适应,以有效应对慢性疾病日益增长的挑战.
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