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noncommunicable disease policy barrier

Helen Slater, Jared M Campbell, Jennifer N Stinson, Megan M Burley, Andrew M Briggs
BACKGROUND: Chronic noncommunicable diseases (NCDs) such as asthma, diabetes, cancer, and persistent musculoskeletal pain impose an escalating and unsustainable burden on young people, their families, and society. Exploring how mobile health (mHealth) technologies can support management for young people with NCDs is imperative. OBJECTIVE: The aim of this study was to identify, appraise, and synthesize available qualitative evidence on users' experiences of mHealth technologies for NCD management in young people...
December 12, 2017: Journal of Medical Internet Research
Chee-Ruey Hsieh, Xuezheng Qin
Due to its fast economic growth and lifestyle changes, China is experiencing a rapid epidemiological transition from communicable to noncommunicable diseases (NCDs). Mental disorder such as depression is an important yet often neglected NCD and is becoming a growing cause of disability, suicides, and disease burden. This paper provides the first nationally representative estimate of the medical cost attributable to depression and depressive symptoms among the adult population in China. On the basis of the 2012 China Family Panel Studies survey, our results indicate that these mental health conditions have significant impacts on the individual medical expenditure, and they jointly contribute to 14...
October 8, 2017: Health Economics
Philip Joseph, Darryl Leong, Martin McKee, Sonia S Anand, Jon-David Schwalm, Koon Teo, Andrew Mente, Salim Yusuf
Current global health policy goals include a 25% reduction in premature mortality from noncommunicable diseases by 2025. In this 2-part review, we provide an overview of the current epidemiological data on cardiovascular diseases (CVD), its risk factors, and describe strategies aimed at reducing its burden. In part 1, we examine the global epidemiology of cardiac conditions that have the greatest impact on CVD mortality; the predominant risk factors; and the impact of upstream, societal health determinants (eg, environmental factors, health policy, and health systems) on CVD...
September 1, 2017: Circulation Research
Shuai Shao, Yechu Hua, Ying Yang, Xiaojuan Liu, Jingruo Fan, An Zhang, Jingling Xiang, Mingjing Li, Lijing L Yan
OBJECTIVE: This study aimed to reveal the latest evidence on salt reduction initiatives in China in order to identify the contextual cost-effective interventions, as well as the barriers encountered during China's long march to reach its population salt reduction goal. BACKGROUND: Population-based salt reduction has been considered as one of the most cost-effective strategies in the world for the prevention and control of noncommunicable diseases. China, along with its sustained economic growth, faces increasing burdens from chronic diseases such as cardiovascular and kidney diseases...
2017: Risk Management and Healthcare Policy
Laura C Warner
OBJECTIVES: Noncommunicable diseases, including malignancies, represent an increasing proportion of the global human disease burden, but low- and middle-income countries lack the necessary infrastructure to diagnose and treat the rising number of patients with cancer. METHODS: African Strategies for Advancing Pathology devised the lab-in-a-box to guide rapid deployment of anatomic pathologic services in sub-Saharan Africa. RESULTS: This framework defines essential elements of a laboratory network, providing the full spectrum of cancer care, and explores the many barriers to creating fully functional laboratory networks in resource-limited settings...
January 24, 2017: American Journal of Clinical Pathology
Pooja Yerramilli, Otgonduya Dugee, Palam Enkhtuya, Felicia M Knaul, Alessandro R Demaio
BACKGROUND: Mongolia bears the second-highest cancer burden in the world (5,214 disability-adjusted life years per 100,000 people, age standardized). To determine drivers of the growing burden of noncommunicable diseases, including breast and cervical cancers, a national knowledge, attitudes, and practices (KAP) survey was implemented in 2010. METHODS: This paper analyzed the results of the 2010 KAP survey, which sampled 3,450 households nationally. Reflecting Mongolian screening policies, women aged 30 and older were included in analyses of questions regarding breast and cervical cancer (n = 1,193)...
November 2015: Oncologist
Sandeep P Kishore, Kavitha Kolappa, Jordan D Jarvis, Paul H Park, Rachel Belt, Thirukumaran Balasubramaniam, Rachel Kiddell-Monroe
The modern access-to-medicines movement grew largely out of the civil-society reaction to the HIV/AIDS pandemic three decades ago. While the movement was successful with regard to HIV/AIDS medications, the increasingly urgent challenge to address access to medicines for noncommunicable diseases has lagged behind-and, in some cases, has been forgotten. In this article we first ask what causes the access gap with respect to lifesaving essential noncommunicable disease medicines and then what can be done to close the gap...
September 2015: Health Affairs
Adolfo L Rubinstein, Vilma E Irazola, Rosana Poggio, Pablo Gulayin, Analía Nejamis, Andrea Beratarrechea
In Argentina, cardiovascular diseases cause an estimated 100,000 deaths and more than 250,000 coronary heart disease and stroke events annually, at a cost of more than $1 billion international dollars. Despite progress in the implementation of several programs to combat noncommunicable diseases in Argentina over the past few years, most health resources are still dedicated to infectious diseases and maternal and child health. The Institute for Clinical Effectiveness and Health Policy, an independent academic institution affiliated with the University of Buenos Aires medical school, runs the South American Centre of Excellence in Cardiovascular Health (CESCAS), a center devoted to epidemiology, implementation, and policy research...
March 2015: Global Heart
Aminu K Bello, Adeera Levin, Braden J Manns, John Feehally, Tilman Drueke, Labib Faruque, Brenda R Hemmelgarn, Charles Kernahan, Johannes Mann, Scott Klarenbach, Giuseppe Remuzzi, Marcello Tonelli
Chronic kidney disease (CKD) is an important global public health problem that is associated with adverse health outcomes and high health care costs. Effective and cost-effective treatments are available for slowing the progression of CKD and preventing its complications, including cardiovascular disease. Although wealthy nations have highly structured schemes in place to support the care of people with kidney failure, less consideration has been given to health systems and policy for the much larger population of people with non-dialysis-dependent CKD...
January 2015: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Ashley Schram, Ronald Labonté, David Sanders
There are three dominant globalization pathways affecting noncommunicable diseases in Sub-Saharan Africa (SSA): urbanization, trade liberalization, and investment liberalization. Urbanization carries potential health benefits due to improved access to an increased variety of food imports, although for the growing number of urban poor, this has often meant increased reliance on cheap, highly processed food commodities. Reduced barriers to trade have eased the importation of such commodities, while investment liberalization has increased corporate consolidation over global and domestic food chains...
November 2013: Progress in Cardiovascular Diseases
Arnab Basu, Barbro Norrström Mittag-Leffler, Kenneth Miller
Low- and medium-resource countries are facing a significant increase in the incidence of noncommunicable diseases such as cancer. Unfortunately, the majority of patients with cancer present with advanced disease, and disease-directed treatment may be unlikely to be effective and/or not available. Globally, there will be a growing need for palliative care services. There has been significant progress in the provision and integration of palliative care into the health care policy and systems. Nonetheless, palliative care services vary significantly between regions of the world and also between countries in the same region...
September 2013: Cancer Journal
Katja Siefken, Grant Schofield, Nico Schulenkorf
BACKGROUND: The Pacific region has experienced rapid urbanization and lifestyle changes, which lead to high rates of noncommunicable disease (NCD) prevalence. There is no information on barriers and facilitators for healthy lifestyles in this region. In response, we present the first stage of a rigorous development of an urban Pacific health intervention program. This paper describes formative work conducted in Port Vila, Vanuatu. The objective of this paper was to understand cultural barriers and facilitators in Pacific women to lifestyle change and use the findings to inform future health interventions...
January 2014: Journal of Physical Activity & Health
George A O Alleyne
Growth in global health interest in the past 20 years has been overwhelming and many universities throughout the world have created departments or institutes of global health. The essence of global health has to be promoting health equity globally. The global health agenda must embrace design of mixed health systems, involving both private and public components to address the emerging threat of noncommunicable diseases and existing communicable diseases as well as to reduce health inequity. The priority agenda for the twenty-first century is challenging but the improvements of the past give hope that the barriers to improving global health are surmountable...
June 2011: Infectious Disease Clinics of North America
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