TY - JOUR
T1 - Redesigning primary care to tackle the global epidemic of noncommunicable disease
AU - Kruk, Margaret E.
AU - Nigenda, Gustavo
AU - Knaul, Felicia M.
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low-andmiddle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity.Yet the health systems of low-andmiddle-income countries, historically oriented to infectious disease and often severely underfunded, are poorlypreparedforthe challenge of caring for people with cardiovascular disease, diabetes, cancer, and chronic respiratory disease.We have discussed how primary care can be redesigned to tackle the challenge of NCDs in resourceconstrained countries. We suggest that four changes will be required: integration of services, innovative service delivery, a focus on patients and communities, and adoption of new technologies for communication.
AB - Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low-andmiddle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity.Yet the health systems of low-andmiddle-income countries, historically oriented to infectious disease and often severely underfunded, are poorlypreparedforthe challenge of caring for people with cardiovascular disease, diabetes, cancer, and chronic respiratory disease.We have discussed how primary care can be redesigned to tackle the challenge of NCDs in resourceconstrained countries. We suggest that four changes will be required: integration of services, innovative service delivery, a focus on patients and communities, and adoption of new technologies for communication.
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U2 - 10.2105/AJPH.2014.302392
DO - 10.2105/AJPH.2014.302392
M3 - Review article
C2 - 25602898
AN - SCOPUS:84922717235
VL - 105
SP - 431
EP - 437
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 3
ER -