کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5690286 1410029 2017 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Potential Impact of Public Health Interventions in Preventing Kidney Disease
ترجمه فارسی عنوان
تاثیر بالقوه مداخلات بهداشت عمومی در پیشگیری از بیماری کلیه
کلمات کلیدی
پیشگیری از بیماری مزمن کلیه، مداخلات بهداشت عمومی، کشورهای کم درآمد و متوسط. تغییر سیستم بهداشتی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
چکیده انگلیسی
Summary: The years of life lost and years lived with disability resulting from chronic kidney disease (CKD) increased globally by 90% and 49.5%, respectively, between 1990 and 2013. In addition to the traditional factors, infections, low birthweight, environmental factors, and low socioeconomic status contribute to the CKD burden in low- and middle-income countries. System-level challenges such as poor appreciation of the burden, insufficient human resources, high health care costs, poor referral pathways, unreliable health information systems, and inadequate medicine supply pose barriers to CKD control. In this article, we present evidence that the CKD burden in low- and middle-income countries is related to system-wide issues, which could be reduced effectively using innovative, affordable, and scalable interventions. A multipronged approach is required including improving socioeconomic determinants of health, enabling the environment for healthy decision making, and sustainable interventions. Innovative approaches include promoting healthy behaviors, counseling, and education in primary care, task-sharing between physicians and nonphysicians, using technology to train nonphysicians to screen, diagnose, refer, follow-up, and educate patients, and ensuring quality. Stronger political will and system-level change are needed to prevent and manage CKD if the sustainable development goals of reducing premature mortality from noncommunicable diseases by 2030 are to be attained.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Nephrology - Volume 37, Issue 3, May 2017, Pages 234-244
نویسندگان
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