Priorities for developing countries in the global response to non-communicable diseases

被引:80
|
作者
Maher, Dermot [3 ]
Ford, Nathan [1 ,2 ]
Unwin, Nigel [4 ]
机构
[1] Med Sans Frontieres, Geneva, Switzerland
[2] Univ Cape Town, Ctr Infect Dis Epidemiol & Res, ZA-7925 Cape Town, South Africa
[3] London Sch Hyg & Trop Med, London WC1, England
[4] Univ W Indies, Fac Med Sci, Bridgetown, Barbados
来源
关键词
Non-communicable diseases; Prevention; Treatment; PREVENTING CHRONIC DISEASES; MIDDLE-INCOME COUNTRIES; PRIMARY-CARE RESPONSE; ANTIRETROVIRAL TREATMENT; HEALTH TRANSITION; UNIVERSAL ACCESS; HIV-INFECTION; AFRICA; AFFORDABILITY; TUBERCULOSIS;
D O I
10.1186/1744-8603-8-14
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The growing global burden of non communicable diseases (NCDs) is now killing 36 million people each year and needs urgent and comprehensive action. This article provides an overview of key critical issues that need to be resolved to ensure that recent political commitments are translated into practical action. These include: (i) categorizing and prioritizing NCDs in order to inform donor funding commitments and priorities for intervention; (ii) finding the right balance between the relative importance of treatment and prevention to ensure that responses cover those at risk, and those who are already sick; (iii) defining the appropriate health systems response to address the needs of patients with diseases characterized by long duration and often slow progression; (iv) research needs, in particular translational research in the delivery of care; and (v) sustained funding to support the global NCD response.
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页数:8
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