在医疗保健中整合非传染性疾病：应对非洲地区的双重疾病负担
Integration of non-communicable diseases in health care: tackling the double burden of disease in African settings.
作者信息
Temu Florence, Leonhardt Marcus, Carter Jane, Thiam Sylla
机构信息
African Medical and Research Foundation, International Training Centre, Nairobi, Kenya.
出版信息
Pan Afr Med J. 2014 Jul 5;18:202. doi: 10.11604/pamj.2014.18.202.4086. eCollection 2014.
Abstract
Sub-Saharan African countries now face the double burden of Non Communicable and Communicable Diseases. This situation represents a major threat to fragile health systems and emphasises the need for innovative integrative approaches to health care delivery. Health services need to be reorganised to address populations' needs holistically and effectively leverage resources in already resource-limited settings. Access and delivery of quality health care should be reinforced and implemented at primary health care level within the framework of health system strengthening. Competencies need to be developed around services provided rather than specific diseases. New models of integration within the health sector and other sectors should be explored and further evidence generated to inform policy and practice to combat the double burden.
摘要
撒哈拉以南非洲国家目前面临非传染性疾病和传染性疾病的双重负担。这种情况对脆弱的卫生系统构成重大威胁，并凸显了采用创新综合方法提供医疗服务的必要性。需要对卫生服务进行重组，以全面满足民众需求，并在资源本就有限的情况下有效利用资源。应在加强卫生系统的框架内，在初级卫生保健层面强化并实施优质医疗服务的获取与提供。应围绕所提供的服务而非特定疾病来培养能力。应探索卫生部门与其他部门内部新的整合模式，并产生更多证据，为应对双重负担的政策和实践提供信息。
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