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洛伦齐尼基金会处于患者管理不断变化的情形之中。

The Lorenzini Foundation in a changing scenario of patient management.

作者信息

Peracino A, Paoletti R

机构信息

Giovanni Lorenzini Medical Science Foundation, Milan, Italy.

出版信息

Atheroscler Suppl. 2009 Jun 10;10(1):22-8. doi: 10.1016/S1567-5688(09)70004-2.

Abstract

The loss of life, disability, and economic burden attributed to cardiovascular disease (CVD) in Europe has created an urgent need for all stakeholders in CVD prevention to partner together to address the barriers in local health policy and produce effective programs in individual and population risk reduction and rational use of health services. Countries have a legal and moral obligation to achieve the highest standard of CV health care for citizens and to improve national health care systems accordingly. As part of a vision for future potential opportunities in CVD prevention, the Lorenzini Foundation would like to raise awareness of several key areas among the European authorities: Integration of interventions aimed at several risk factors within an individual country's health care system; implementation of a comprehensive approach combining policy development, capacity building, partnership and information support at all levels; promotion of transversal health policies, including coordinated action outside of the health sector to address major determinants of ill health; a combination of health policy and high-risk strategies to link health promotion, public health services, primary care, and hospital care; and, finally, reduction in ethnic, cultural, socioeconomic, and gender inequalities to multiple risk factor management among and within countries through use of cost-effective medications and medical technologies.

摘要

欧洲心血管疾病(CVD)所致的生命损失、残疾以及经济负担,使得心血管疾病预防领域的所有利益相关者迫切需要携手合作,以消除地方卫生政策中的障碍,并制定有效的项目,来降低个人和人群的风险,合理利用卫生服务。各国负有法律和道德义务,为公民提供最高标准的心血管保健服务,并相应改善国家卫生保健系统。作为对心血管疾病预防未来潜在机遇的展望的一部分,洛伦齐尼基金会希望提高欧洲当局对几个关键领域的认识:在单个国家的卫生保健系统内整合针对多种风险因素的干预措施;实施一种综合方法,将各级的政策制定、能力建设、伙伴关系和信息支持结合起来;推广横向卫生政策,包括在卫生部门之外采取协调行动,以应对健康不良的主要决定因素;将卫生政策与高风险策略相结合,以连接健康促进、公共卫生服务、初级保健和医院护理;最后,通过使用具有成本效益的药物和医疗技术,减少国家间和国家内种族、文化、社会经济及性别不平等现象对多重风险因素管理的影响。

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