Ganju Aakash, Goulart Alessandra C, Ray Amrit, Majumdar Anurita, Jeffers Barrett W, Llamosa Gloria, Cañizares Henry, Ramos-Cañizares Ianne Jireh, Fadhil Ibtihal, Subramaniam Kannan, Lim Lee-Ling, El Bizri Luna, Ramesh M, Guilford Mathew, Ali Raghib, Devi Ratna Duddi, Malik Rayaz A, Potkar Shekhar, Wang Yuan-Pang
Executive Office, Saathealth, Mumbai, India.
Center for Clinical and Epidemiological Research, University Hospital, University of São Paulo, São Paulo, Brazil.
J Multidiscip Healthc. 2020 Jul 27;13:693-707. doi: 10.2147/JMDH.S252300. eCollection 2020.
Non-communicable diseases (NCDs) have been on the rise in low- and middle-income countries (LMICs) over the last few decades and represent a significant healthcare concern. Over 85% of "premature" deaths worldwide due to NCDs occur in the LMICs. NCDs are an economic burden on these countries, increasing their healthcare expenditure. However, targeting NCDs in LMICs is challenging due to evolving health systems and an emphasis on acute illness. The major issues include limitations with universal health coverage, regulations, funding, distribution and availability of the healthcare workforce, and availability of health data. Experts from across the health sector in LMICs formed a Think Tank to understand and examine the issues, and to offer potential opportunities that may address the rising burden of NCDs in these countries. This review presents the evidence and posits pragmatic solutions to combat NCDs.
在过去几十年里，低收入和中等收入国家（LMICs）的非传染性疾病（NCDs）一直在增加，这是一个重大的医疗保健问题。全球超过85%的因非传染性疾病导致的“过早”死亡发生在低收入和中等收入国家。非传染性疾病给这些国家带来了经济负担，增加了它们的医疗保健支出。然而，由于卫生系统不断演变以及对急性疾病的重视，在低收入和中等收入国家应对非传染性疾病具有挑战性。主要问题包括全民健康覆盖、法规、资金、医疗保健人员的分配与可及性以及健康数据的可及性方面的限制。来自低收入和中等收入国家卫生部门的专家组成了一个智囊团，以了解和审视这些问题，并提供可能解决这些国家日益增加的非传染性疾病负担的潜在机会。本综述展示了相关证据，并提出了应对非传染性疾病的务实解决方案。
