相关实验视频
扩大预防慢性疾病的干预措施:证据证明
Thomas A Gaziano1, Gauden Galea, K Srinath Reddy
1Harvard Medical School, Boston, MA, USA. tgaziano@partners.org
Lancet (London, England)
|December 8, 2007
概括
对于低收入和中等收入国家来说,慢性疾病的成本效益干预是至关重要的. 烟草控制,盐分减少和心血管疾病管理显示出扩大规模的强大可行性.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 非传染性疾病 非传染性疾病
背景情况:
- 慢性疾病对全球健康造成重大负担,特别是在低收入和中等收入国家.
- 干预措施必须具有成本效益和财务可行性,以便广泛实施.
- 对于重大慢性疾病的政策干预现有证据需要全面审查.
研究的目的:
- 审查慢性疾病政策干预措施的成本效益估计.
- 评估在不同经济环境中扩大干预措施的可行性.
- 确定有效的策略来减少心血管疾病,糖尿病,癌症和慢性呼吸道疾病的发病率和死亡率.
主要方法:
- 对基于人口和个人政策干预措施的成本效益数据的系统审查.
- 包括来自低,中,高收入地区的数据.
- 评估有效性或成本效益数据有限的证据差距.
主要成果:
- 强有力的成本效益证据支持扩大烟草控制措施.
- 对于高风险心血管疾病患者来说,减少盐分的策略和多种药物治疗方案是可行的.
- 为预防心血管疾病,建议对减少和脂肪和反式脂肪摄入量的进一步研究.
结论:
- 控制烟草,减少盐分和控制心血管疾病的干预措施具有成本效益,并且可用于扩大规模.
- 针对饮食,卫生系统和个人行为的政策干预可以显著降低慢性疾病负担.
- 基于证据的政策实施是解决全球慢性疾病的关键.
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