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对东南亚地区通过初级卫生保健方法应对心血管疾病和其他非传染性疾病的批判性综述。

A critical review of addressing cardiovascular and other non-communicable diseases through a primary health care approach in the South-East Asia Region.

作者信息

Mahipala Palitha, Dorji Gampo, Tisocki Klara, Rani Manju

机构信息

Regional Office for South-East Asia/World Health Organization, New Delhi, India.

出版信息

Cardiovasc Diagn Ther. 2019 Apr;9(2):150-157. doi: 10.21037/cdt.2018.09.03.

Abstract

Non-communicable diseases (NCDS) are responsible for almost two-thirds of all deaths in the WHO South-East Asia Region. Among the NCDs, reduction of CVD mortality, which accounts for almost half of all NCD mortality, must be considered as a priority. The eleven countries in the Region have committed to achieve the universal health and NCD health service access targets; its achievements will depend on the ability and the comprehensiveness of the primary health care systems to deliver the services. While most countries have made a solid beginning to integrate services for basic management of the four major NCD (CVDs, diabetes, chronic respiratory diseases and cancers) into primary health care services, a rapid consolidation and expansion should be undertaken along with the steps to improve access to essential medicines and diagnostics. Strengthening primary health care services in the Region has become ever more urgent to address the evolving NCD health care needs of populations and achieve the 25 by 25 NCD global voluntary targets and 2030 United Nation's sustainable development goals (SDGs).

摘要

非传染性疾病(NCDs)占世界卫生组织东南亚区域所有死亡人数的近三分之二。在非传染性疾病中,降低心血管疾病死亡率必须被视为优先事项,因为心血管疾病死亡率几乎占所有非传染性疾病死亡率的一半。该区域的11个国家已承诺实现全民健康和非传染性疾病医疗服务可及性目标;其成果将取决于初级卫生保健系统提供服务的能力和全面性。虽然大多数国家已在将四大非传染性疾病(心血管疾病、糖尿病、慢性呼吸道疾病和癌症)的基本管理服务纳入初级卫生保健服务方面有了良好开端,但应在采取措施改善基本药物和诊断服务可及性的同时,迅速进行巩固和扩展。加强该区域的初级卫生保健服务对于满足不断变化的人群非传染性疾病医疗保健需求以及实现“25x25”全球非传染性疾病自愿目标和2030年联合国可持续发展目标(SDGs)变得更加紧迫。

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