Development-assistance Strategies for Stroke in Low- and Middle-income Countries
Journal of Korean Medical Science
; : S139-S142, 2015.
Article
em En
| WPRIM
| ID: wpr-198106
Biblioteca responsável:
WPRO
ABSTRACT
While communicable diseases still pose a serious health threat in developing countries, previously neglected health issues caused by non-communicable diseases such as stroke are rapidly becoming a major burden to these countries. In this review we will discuss the features and current status of stroke in low- and middle-income countries (LMICs). Overall the global burden of hemorrhagic stroke is larger than ischemic stroke, with a disproportionately greater burden, measured in incidence and disability-adjusted life-years, regionally localized in LMICs. Patients in poorer countries suffer due to insufficient primary care needed to control risk factors such as hypertension, and inadequate emergency care systems through which sudden events should be managed. In light of these situations, we emphasize two strategic points for development assistance. First, assistance should be provided for bolstering, integrating, and coordinating both the primary health and emergency care systems, in order to prevent stroke and strengthen stroke management, respectively. Second, the assistance needs to focus on programs at the community level, to reduce life-style risks of stroke in a more sustainable manner, and to improve stroke outcomes more effectively.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Desenvolvimento Econômico
/
Saúde Global
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Incidência
/
Prevalência
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Fatores de Risco
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Modelos Organizacionais
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Acidente Vascular Cerebral
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Atenção à Saúde
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Países em Desenvolvimento
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Promoção da Saúde
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Prevalence_studies
/
Prognostic_studies
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Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2015
Tipo de documento:
Article