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[糖尿病:公共卫生面临的挑战]

[Diabetes the challenge for public health].

作者信息

Chromińiska-Szosland Dorota T

机构信息

Ze Szkoły Zdrowia Publicznego Instytutu Medycyny Pracy im. Prof. J. Nofera w Lodzi.

出版信息

Wiad Lek. 2002;55 Suppl 1(Pt 2):646-50.

Abstract

Diabetes is one of the most costly and burdensome chronic diseases of our time and is reaching pandemic proportions throughout the world. Diabetes is frequently associated with long-term complications causing damage or failure of various organs such as the eyes, kidneys and nerves. Premature disability in this group of patients results in the loss of productivity, increased morbidity and mortality rates, and higher health care costs. Health care costs of diabetes rise because of increasing number of newly diagnosed cases of diabetes and its complications. Preventive measures in diabetes especially type 2 accounting for 90% of cases worldwide can be properly applied because most of the risk factors are well known. Prevention is less costly financial resources than the treatment, but the measurable economic and social profits will be seen in the future. The management of diabetes should be changed from traditional medical to the activity of public health. Public health messages, health care professionals and health care systems should all encourage behavior changes to achieve a healthy lifestyle that can prevent type 2 diabetes.

摘要

糖尿病是我们这个时代最昂贵、负担最重的慢性病之一,且在全球正呈大流行态势。糖尿病常与长期并发症相关,这些并发症会导致眼睛、肾脏和神经等各种器官受损或功能衰竭。这组患者的过早残疾会导致生产力丧失、发病率和死亡率上升以及医疗保健成本增加。由于新诊断出的糖尿病病例及其并发症数量不断增加,糖尿病的医疗保健成本也在上升。糖尿病的预防措施,尤其是占全球病例90%的2型糖尿病的预防措施,可以得到妥善应用,因为大多数风险因素已为人所知。预防在财政资源方面比治疗成本更低,但未来将看到可衡量的经济和社会效益。糖尿病管理应从传统医疗转变为公共卫生活动。公共卫生信息、医疗保健专业人员和医疗保健系统都应鼓励行为改变,以实现能够预防2型糖尿病的健康生活方式。

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