Chronic noncommunicable cardiovascular and pulmonary disease in sub-Saharan Africa: An academic model for countering the epidemic
Chronic noncommunicable cardiovascular and pulmonary disease in sub-Saharan Africa: An academic model for countering the epidemic
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DOI：
10.1016/j.ahj.2010.12.020
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发表时间：
2011-05-01
影响因子：
4.8
通讯作者：
Velazquez, Eric J.
中科院分区：
文献类型：
--
作者：
Bloomfield, Gerald S.;Kimaiyo, Sylvester;Velazquez, Eric J.
非传染性疾病正在迅速取代传染病、围产期疾病、营养性疾病和孕产妇疾病，成为全世界死亡和残疾的主要原因。据估计，在今后10至15年内，慢性病负担的日益加重和人口老龄化将使世界面临前所未有的慢性病负担。要以可持续的方式预防慢性非传染性疾病这一全球流行病的潜在影响，就需要作出协调一致的合作努力。在此，我们提出了我们合作的战略计划，以了解，治疗和预防肯尼亚西部的慢性心血管和肺部疾病（CVPD），该计划建立在北美和肯尼亚学术大学之间长达20年的合作关系基础上，提供医疗保健的学术模式。我们强调培训肯尼亚临床研究人员的重要性，他们将最终领导CVPD护理，教育和研究工作。这一目标将通过我们的五个主要目标来实现。我们的目标包括创建一个能够管理运营的行政核心，开发临床和临床研究培训课程，加强现有的技术基础设施，并实施相关的研究计划。利用强大的国际学术合作伙伴关系，在心血管医学，肺医学和医学信息学方面拥有各自的专业知识，我们通过解决患者护理，教学和临床研究来了解和应对肯尼亚的CVPD。(Am Heart J 2011;161：842-7.）
Noncommunicable diseases are rapidly overtaking infectious, perinatal, nutritional, and maternal diseases as the major causes of worldwide death and disability. It is estimated that, within the next 10 to 15 years, the increasing burden of chronic diseases and the aging of the population will expose the world to an unprecedented burden of chronic diseases. Preventing the potential ramifications of a worldwide epidemic of chronic noncommunicable diseases in a sustainable manner requires coordinated, collaborative efforts. Herein, we present our collaboration's strategic plan to understand, treat, and prevent chronic cardiovascular and pulmonary disease (CVPD) in western Kenya, which builds on a 2-decade partnership between academic universities in North America and Kenya, the Academic Model Providing Access to Healthcare. We emphasize the importance of training Kenyan clinician-investigators who will ultimately lead efforts in CVPD care, education, and research. This penultimate aim will be achieved by our 5 main goals. Our goals include creating an administrative core capable of managing operations, develop clinical and clinical research training curricula, enhancing existing technology infrastructure, and implementing relevant research programs. Leveraging a strong international academic partnership with respective expertise in cardiovascular medicine, pulmonary medicine, and medical informatics, we have undertaken to understand and counter CVPD in Kenya by addressing patient care, teaching, and clinical research. (Am Heart J 2011;161:842-7.)