Translating evidence into policy for cardiovascular disease control in India.
Translating evidence into policy for cardiovascular disease control in India.
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DOI：
10.1186/1478-4505-9-8
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发表时间：
2011-02-09
影响因子：
4
通讯作者：
Xavier D
中科院分区：
文献类型：
--
作者：
Gupta R;Guptha S;Joshi R;Xavier D
心血管疾病（CVD）是印度过早死亡的主要原因。来自发达国家的证据表明，通过全民和以个人为基础的战略，可以大大预防这些疾病造成的死亡。印度已提出控制心血管疾病的政策倡议，但有效性的证据最近才出现。这些举措可对降低发病率和死亡率产生直接影响。在预防战略中，首要的是提高社会经济地位和识字率，提供充足的保健资金和公共医疗保险，制定有效的国家心血管疾病控制方案，制定吸烟控制政策，对饱和脂肪、反式脂肪、盐和酒精进行立法控制，通过更好的城市规划和学校及工作场所干预措施，发展增加体育活动的设施。一级预防需要改变医学教育课程，改善医疗保健服务，以控制心血管疾病的危险因素吸烟，高血压，血脂异常和糖尿病。二级预防包括为最佳急性心血管病护理和二级预防创造设施和人力资源。有必要整合各种政策制定者，制定有效的政策，并修改医疗保健系统，以有效提供心血管疾病预防保健。
Cardiovascular diseases (CVD) are leading causes of premature mortality in India. Evidence from developed countries shows that mortality from these can be substantially prevented using population-wide and individual-based strategies. Policy initiatives for control of CVD in India have been suggested but evidence of efficacy has emerged only recently. These initiatives can have immediate impact in reducing morbidity and mortality. Of the prevention strategies, primordial involve improvement in socioeconomic status and literacy, adequate healthcare financing and public health insurance, effective national CVD control programme, smoking control policies, legislative control of saturated fats, trans fats, salt and alcohol, and development of facilities for increasing physical activity through better urban planning and school-based and worksite interventions. Primary prevention entails change in medical educational curriculum and improved healthcare delivery for control of CVD risk factors-smoking, hypertension, dyslipidemia and diabetes. Secondary prevention involves creation of facilities and human resources for optimum acute CVD care and secondary prevention. There is need to integrate various policy makers, develop effective policies and modify healthcare systems for effective delivery of CVD preventive care.
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影响因子：
37.8
作者：
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通讯作者：
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影响因子：
4.5
作者：
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24
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通讯作者：
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5.7
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5.7
作者：
Banerjee, TK;Mukherjee, CS;Sarkhel, A
通讯作者：
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