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为何要重新发明轮子?利用 HIV 扩大规模的经验教训来应对非传染性疾病。

Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases.

机构信息

Department of Medicine, Columbia University College of Physicians and Surgeons and Mailman School of Public Health, New York, NY, USA.

出版信息

Glob Public Health. 2011;6(3):247-56. doi: 10.1080/17441692.2011.552068.

DOI:10.1080/17441692.2011.552068
PMID:21390970
Abstract

The dramatic scale-up of HIV services in lower-income countries has led to the development of service delivery models reflecting the specific characteristics of HIV and its treatment as well as local contexts and cultures. Given the shared barriers and challenges faced by health programmes in lower-income countries, many of the implementation approaches developed for HIV programmes have the potential to contribute to the continuity care framework needed to address non-communicable diseases (NCDs) in resource-limited settings. HIV programmes are, in fact, the first large-scale chronic disease programmes in many countries, offering local and effective tools, models and approaches that can be replicated, adapted and expanded. As such, they might be used to 'jumpstart' the development of initiatives to provide prevention, care and treatment services for NCDs and other chronic conditions.

摘要

在中低收入国家,艾滋病毒服务的大幅扩展导致了服务提供模式的发展,这些模式反映了艾滋病毒及其治疗方法的具体特点以及当地的背景和文化。鉴于中低收入国家卫生方案面临着共同的障碍和挑战,许多为艾滋病毒方案制定的实施方法有可能为资源有限环境中解决非传染性疾病所需的连续性护理框架做出贡献。艾滋病毒方案实际上是许多国家的第一批大规模慢性疾病方案,提供了可以复制、调整和扩展的本地有效工具、模式和方法。因此,它们可以用来“启动”为非传染性疾病和其他慢性病提供预防、护理和治疗服务的举措的发展。

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