Type 2 diabetes and health care costs in Latin America: exploring the need for greater preventive medicine
Type 2 diabetes and health care costs in Latin America: exploring the need for greater preventive medicine
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DOI：
10.1186/s12916-014-0136-z
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发表时间：
2014-08-19
期刊：
影响因子：
9.3
通讯作者：
Arredondo, Armando
中科院分区：
文献类型：
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作者：
Arredondo, Armando
背景：尽管医学取得了进步，但拉丁美洲的卫生系统没有应对慢性病的挑战。近年来，发病率和由此造成的经济负担都有所增加。我们选择了2型糖尿病作为一个例子，以突出慢性疾病所带来的挑战，在流行病学的转变和经济负担的服务需求，以治疗这样的problem.Discussion：目前的卫生系统不准备全面应对疾病的自然史的所有阶段。有新的模式的普遍覆盖，但资源和模式的护理集中在旨在治疗/康复的方案，并在检测/prevention.Summary非常稀疏：在这种情况下，慢性病有惊人的增加直接成本（医疗）和间接成本（暂时性残疾，永久性残疾和过早死亡）。如果不将更多的资源分配给预防医学，这些趋势除了不能满足人民的需要外，还将使卫生系统和病人的口袋在财政上崩溃。这篇评论文章概述了一些可能的变化，可以实施，以更好地准备在拉丁美洲国家的卫生服务。
Background: Despite advances in medicine, health systems in Latin America are not coping with the challenges of chronic diseases. Incidence of disease and the economic burdens as a consequence have both increased in recent years. We have chosen Type 2 diabetes as an example to highlight the challenges posed by chronic diseases, in terms of the epidemiological transition and the economic burden of the demand for services to treat such problems.Discussion: Current health systems are not prepared to respond in a comprehensive manner to all phases of the natural history of the disease. There are new models of universal coverage, but resources and models of care are focused on programs aimed at healing/rehabilitation, and very sparsely at detection/prevention.Summary: In this scenario, chronic problems have alarmingly increased direct costs (medical care) and indirect costs (temporary disability, permanent disability and premature mortality). If more resources are not assigned to preventive medicine, these trends, in addition to not meeting the needs of the population, will financially collapse health systems and the patients' pockets. This Opinion piece outlines some possible changes that can be implemented to better prepare the health services in Latin American countries.