从心脏,和代谢疾病管理的全球指南到国家实施:指南研讨会工作组的观点
Christoph Wanner1, Francesco Cosentino2, Katharine Barnard-Kelly3,4
1Department of Clinical Studies and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Am Schwarzenberg 15, Building A15, 97078, Würzburg, Germany. wanner_c@ukw.de.
Cardiovascular diabetology
|February 24, 2026
概括
实施2型糖尿病 (T2D),肥胖,心血管疾病 (CVD),代谢功能障碍相关的脂肪性肝病 (MASLD) 和慢性病 (CKD) 的国际准则需要克服沟通和孤立过程等障碍. 协调策略对于改善患者护理和结果至关重要.
科学领域:
- 临床医学 临床医学
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 对于2型糖尿病 (T2D),肥胖,心血管疾病 (CVD),与代谢功能障碍相关的脂肪性肝病 (MASLD) 和慢性病 (CKD) 存在国际指导方针.
- 这些以证据为基础的指导方针的国家实施不一致,造成了建议和临床实践之间的差距.
研究的目的:
- 确定在国家医疗保健系统中实施指南的障碍.
- 建议协调策略,以有效地转化指南并将其纳入临床实践.
- 强调利益相关者之间合作的必要性,以改善患者的治疗结果.
主要方法:
- 本评论分析了指导方针实施中的现有挑战和成功举措.
- 它综合了从各种医疗保健环境中学到的经验教训.
- 它为国家一级战略提出了可行的建议.
主要成果:
- 主要障碍包括语言/文化适应,临床医生的沟通有限,以及分散的监管/补偿系统.
- 有效的策略包括简洁的翻译,数字工具,医疗教育整合和结构化的监测.
- 医疗协会,政府,支付者和患者之间的协调对于公平获取至关重要.
结论:
- 系统的,情境敏感的方法被证明可以增强护理的提供.
- 优先考虑国家实施战略将加速将指导方针转化为实践.
- 改进的指导方针实施对于实现提高T2D,肥胖,心血管疾病,MASLD和CKD患者治疗结果的全部潜力至关重要.
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