Weeramanthri Tarun, Hendy Shirley, Connors Christine, Ashbridge David, Rae Cheryl, Dunn Maree, Fittock Marea, Cleary Jenny, O'Donohoe Lynette, Morton Steve, Swanson Noelene
Centre for Disease Control.
Aust Health Rev. 2003;26(3):31-42. doi: 10.1071/ah030031.
The need for an integrated and life course approach to the prevention and control of chronic diseases is increasingly being recognised. This paper describes the development of the Northern Territory Preventable Chronic Disease Strategy (PCDS), the strategic framework and evidence base, the design of implementation and monitoring phases, and early outcomes. The PCDS is premised on the belief that the major chronic diseases, and their common underlying risk factors, are potentially preventable. The structural challenges to larger jurisdictions taking such an integrated approach are undoubtedly larger, but the benefits are potentially great. Continuing with a series of vertical programs aimed at each single noncommunicable disease will not deliver the desired national health outcomes.
采用综合的、贯穿生命全程的方法来预防和控制慢性病的必要性正日益得到认可。本文描述了北领地可预防慢性病战略(PCDS)的制定过程、战略框架和证据基础、实施与监测阶段的设计以及早期成果。PCDS基于这样一种信念,即主要慢性病及其常见的潜在风险因素是有可能预防的。较大辖区采取这种综合方法面临的结构性挑战无疑更大,但潜在益处也可能很大。继续实施一系列针对每种单一非传染性疾病的纵向项目将无法实现理想的国民健康成果。