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可持续发展目标:对未来内科医学的呼吁。

Sustainable development goals: a call for future internal medicine.

作者信息

Ferrando Maria Regina, Proietti Elisa, Demontis Maria, Montecucco Fabrizio, Pisciotta Livia

机构信息

Department of Internal Medicine and Medical Specialties, University of Genoa, Viale Benedetto XV 6, 16132, Genoa, Italy.

Department of Internal Medicine, University of Genoa, viale Benedetto XV 6, 16132, Genoa, Italy.

出版信息

Intern Emerg Med. 2025 Apr 11. doi: 10.1007/s11739-025-03941-3.

Abstract

2030 Agenda Sustainable Development Goals (SDGs) achievement is the main challenge in order to design a sustainable future society. SDG 3 ensure healthy lives and promote well-being for all at all ages, focusing on prevention and treatment of communicable diseases (CDs) and non-communicable diseases (NCDs). Moreover, access to care, affordable drugs, and vaccines is crucial to improve quality of life leaving no one behind. Internal medicine can answer to the United Nations (UN) universal call by taking action both on infectious disease burden and on NCDs challenge, enabling prevention strategies and treatments, providing new drugs and ensuring accessible care for all. Furthermore, thanks to internist holistic and patient-centered approach, together with a multidisciplinary strategy, misallocation of economic and human resources, and medical errors due to healthcare fragmentation could be avoided. Nonetheless, a syndemic approach taking into account economic, social, and environmental dimensions of health will become fundamental for healthcare systems design. In this framework, internal medicine will be crucial giving a comprehensive patient-centered perspective, coordinating multidisciplinary team interventions, and contributing to sustainable healthcare systems.

摘要

实现《2030年议程可持续发展目标》(SDGs)是设计可持续未来社会的主要挑战。可持续发展目标3确保所有人在所有年龄段都能享有健康生活并促进福祉,重点关注传染病(CDs)和非传染性疾病(NCDs)的预防与治疗。此外,获得医疗服务、负担得起的药物和疫苗对于提高生活质量、不让任何人掉队至关重要。内科医学可以通过应对传染病负担和非传染性疾病挑战、制定预防策略和治疗方法、提供新药并确保所有人都能获得医疗服务,来回应联合国的普遍呼吁。此外,得益于内科医生整体和以患者为中心的方法以及多学科策略,可以避免经济和人力资源的分配不当以及医疗保健碎片化导致的医疗差错。尽管如此,一种考虑到健康的经济、社会和环境层面的综合征方法对于医疗保健系统设计将变得至关重要。在此框架下,内科医学将至关重要,它能提供全面的以患者为中心的视角,协调多学科团队干预,并为可持续医疗保健系统做出贡献。

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