Schoolwerth Anton C, Engelgau Michael M, Hostetter Thomas H, Rufo Kathy H, Chianchiano Dolph, McClellan William M, Warnock David G, Vinicor Frank
Section of Hypertension/Nephrology, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, 2M, Lebanon, NH 03756, USA.
Prev Chronic Dis. 2006 Apr;3(2):A57. Epub 2006 Mar 15.
For a health problem or condition to be considered a public health issue, four criteria must be met: 1) the health condition must place a large burden on society, a burden that is getting larger despite existing control efforts; 2) the burden must be distributed unfairly (i.e., certain segments of the population are unequally affected); 3) there must be evidence that upstream preventive strategies could substantially reduce the burden of the condition; and 4) such preventive strategies are not yet in place. Chronic kidney disease meets these criteria for a public health issue. Therefore, as a complement to clinical approaches to controlling it, a broad and coordinated public health approach will be necessary to meet the burgeoning health, economic, and societal challenges of chronic kidney disease.
要将一个健康问题或状况视为公共卫生问题，必须满足四个标准：1）该健康状况必须给社会带来沉重负担，尽管已采取现有防控措施，但负担仍在加重；2）负担的分布必须不公平（即，人群中的某些部分受到的影响不均衡）；3）必须有证据表明上游预防策略能够大幅减轻该状况的负担；4）此类预防策略尚未到位。慢性肾脏病符合这些公共卫生问题的标准。因此，作为控制慢性肾脏病临床方法的补充，需要一种广泛且协调一致的公共卫生方法来应对慢性肾脏病日益严峻的健康、经济和社会挑战。
