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解决全球糖尿病不平等问题的干预措施:国际进展
Ashby F Walker1, Sian Graham2, Louise Maple-Brown3
1Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL, USA.
Lancet (London, England)
|June 25, 2023
概括
全球糖尿病不平等需要解决社会背景和制度问题,而不仅仅是个人护理. 最佳实践侧重于生态系统变化,能力建设和改善临床环境以实现可持续变化.
科学领域:
- 公共卫生
- 内分泌学
- 医疗公平
背景情况:
- 糖尿病是一种慢性疾病,
- 糖尿病护理和结果的不平等与社会经济,性别,种族和民族地位有关.
- 个人层面的干预不足以应对复杂的全球糖尿病挑战.
研究的目的:
- 编写和突出最佳实践,以实现糖尿病护理和结果的全球公平.
- 根据"柳叶刀"委员会的建议,制定针对糖尿病问题的行动计划.
- 提供国际实践中的糖尿病不平等的例子.
主要方法:
- 通过对生态系统,能力建设或临床实践环境的影响来组织干预.
- 审查和综合糖尿病公平的最佳实践方法.
- 分析国际糖尿病不平等干预的案例研究.
主要成果:
- 最好的做法包括与个人护理一起解决更广泛的社会背景和系统.
- 针对结构性不平等和更广泛的社会背景的干预措施显示出最大的希望.
- 可持续和公平的变化需要多方面的方法.
结论:
- 解决全球糖尿病危机需要关注系统和结构上的不平等.
- 整合个人护理与更广泛的社会和结构性干预对公平至关重要.
- 现实世界的例子证明了背景意识的方法对糖尿病公平的有效性.
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