College of Arts and Science, New York University, New York, US.
The George Institute for Global Health, UNSW, Sydney, AU.
Glob Heart. 2021 May 5;16(1):36. doi: 10.5334/gh.763.
The rising global burden of chronic non-communicable diseases (NCDs) has put a strain on healthcare systems globally, especially in low- and middle-income countries, which have seen disproportionate mortality rates due to non-communicable diseases. These deaths are in part due to challenges with medication adherence, which are compounded by lack of access to medication and weak community support systems. This paper aims to propose a potential solution using models of service delivery in HIV/AIDS, given the many similarities between NCD and HIV/AIDS. Models that have been particularly effective in HIV/AIDS are the community-based peer-support medication delivery groups: medication adherence clubs and community antiretroviral therapy (ART) groups. The positive outcomes from these models, including improved medication adherence and patient satisfaction, provide evidence for their potential success when applied to non-communicable diseases, particularly hypertension and cardiovascular disease.
慢性非传染性疾病（NCD）的全球负担不断增加，给全球医疗系统带来了压力，特别是在中低收入国家，这些国家因非传染性疾病而导致的死亡率不成比例。这些死亡部分归因于药物依从性的挑战，而药物可及性和薄弱的社区支持系统的缺乏使这一问题更加复杂。本文旨在提出一种潜在的解决方案，利用艾滋病病毒/艾滋病的服务提供模式，因为 NCD 和 HIV/AIDS 之间有许多相似之处。在 HIV/AIDS 中特别有效的模式是基于社区的同伴支持药物交付团体：药物依从性俱乐部和社区抗逆转录病毒治疗（ART）团体。这些模式的积极成果，包括提高药物依从性和患者满意度，为将其应用于非传染性疾病，特别是高血压和心血管疾病提供了潜在成功的证据。
