Chada Andria, Suleiman Aisha Jibril, Chanyalew Zewditu, Hassell Lewis, Woldeab Bereket Berhane, Yeabo Giorgis, Razzano Dana
From the Department of Research, Institute for Systems Biology, Seattle, Washington (Chada).
From the Department of Pathology, St. Paul's Hospital Millenium Medical Center, Addis Ababa, Ethiopia (Jibril Suleiman, Chanyalew, Berhane Woldeab).
Arch Pathol Lab Med. 2025 Jul 1;149(7):607-612. doi: 10.5858/arpa.2024-0183-RA.
CONTEXT.—: For equitable global health care, the United Nations has outlined Sustainable Development Goals for health in low-income and middle-income countries (LMICs) with the goal of reaching universal health care by 2030. Currently, 47% of the global population lacks access to basic diagnostics for many common diseases. The need for diagnostic access has never been more critical owing to the dramatic rise of noncommunicable diseases in LMICs. In a recent analysis, The Lancet Commission on Diagnostics estimated that 1.1 million deaths occurring on an annual basis could be avoided if the diagnostic gap were reduced to 10% for only 6 priority conditions.
OBJECTIVE.—: To provide a nonexhaustive summary of the progress made to overcome the barriers to adequate access and explore the potential solutions needed to achieve global diagnostic equity.
DATA SOURCES.—: Several experts in global pathology were interviewed in addition to pathologists working in low-resource settings outside of the United States. Published literature on the topic of global pathology work was analyzed and summarized to provide a cohesive snapshot of the status of global pathology.
CONCLUSIONS.—: Working to increase access to diagnostics in low-resource settings will save millions of lives. The solution to the current inadequate availability of global pathology services will require a global commitment from the entire pathology and laboratory medicine community, government support, and collaboration between the public-private sectors to achieve equitable health care.
为实现全球医疗公平，联合国为低收入和中等收入国家（LMICs）制定了卫生领域的可持续发展目标，目标是到2030年实现全民医疗覆盖。目前，全球47%的人口无法获得针对许多常见疾病的基本诊断。由于低收入和中等收入国家非传染性疾病的急剧增加，获得诊断的需求从未像现在这样迫切。在最近的一项分析中，《柳叶刀》诊断委员会估计，如果仅针对6种优先疾病将诊断差距缩小至10%，每年可避免110万人死亡。
提供一份关于在克服获得充分诊断的障碍方面所取得进展的非详尽总结，并探讨实现全球诊断公平所需的潜在解决方案。
除了在美国境外资源匮乏地区工作的病理学家外，还采访了几位全球病理学专家。对已发表的关于全球病理学工作主题的文献进行了分析和总结，以提供全球病理学现状的连贯概述。
努力增加资源匮乏地区的诊断可及性将挽救数百万人的生命。解决当前全球病理学服务供应不足的问题需要整个病理学和检验医学领域的全球承诺、政府支持以及公私部门之间的合作，以实现医疗公平。
