London School of Hygiene and Tropical Medicine, London, England, UK.
Global Health. 2012 Jun 11;8:14. doi: 10.1186/1744-8603-8-14.
The growing global burden of non communicable diseases (NCDs) is now killing 36 million people each year and needs urgent and comprehensive action. This article provides an overview of key critical issues that need to be resolved to ensure that recent political commitments are translated into practical action. These include: (i) categorizing and prioritizing NCDs in order to inform donor funding commitments and priorities for intervention; (ii) finding the right balance between the relative importance of treatment and prevention to ensure that responses cover those at risk, and those who are already sick; (iii) defining the appropriate health systems response to address the needs of patients with diseases characterized by long duration and often slow progression; (iv) research needs, in particular translational research in the delivery of care; and (v) sustained funding to support the global NCD response.
不断增长的全球非传染性疾病(NCD)负担目前每年导致 3600 万人死亡,需要采取紧急和全面的行动。本文概述了需要解决的关键问题,以确保最近的政治承诺转化为实际行动。这些问题包括:(i)对 NCD 进行分类和优先排序,以便为捐助者的资金承诺和干预措施提供信息;(ii)在治疗和预防的相对重要性之间找到适当的平衡,以确保应对措施涵盖处于风险中的人群和已经患病的人群;(iii)确定适当的卫生系统应对措施,以满足那些患有持续时间长且进展缓慢的疾病的患者的需求;(iv)研究需求,特别是在提供护理方面的转化研究;(v)持续供资,以支持全球 NCD 应对工作。