The Challenges in the Development of Diabetes Prevention and Care Models in Low-Income Settings

Frontiers in Endocrinology

George Simatos¹  Feneli Karachaliou²  Aristofania Simatou² 

[1] Department of Breast Surgery, Agios Savvas Hospital, Athens, Greece;Unit of Endocrinology, Diabetes and Metabolism, 3rd University Pediatric Department, Attikon University Hospital, Athens, Greece;

关键词: diabetes mellitus;    health care models;    diabetes prevention;    diabetes management;    low and middle income;   

DOI  :  10.3389/fendo.2020.00518

来源: DOAJ

【 摘 要 】

In low- and middle-income countries (LMICs), the burden of non-communicable diseases such as diabetes is rapidly rising, overpassing the existing burden of communicable diseases. Patients with diabetes living in low-income communities face unique challenges related to lack of awareness, difficulty in accessing health care systems and medications, and consequently failure in achieving optimal diabetes management and preventing complications. Effective diabetes prevention and care models could help reduce the rising burden by standardizing guidelines for prevention and management, improving access to care, engaging community and peers, improving the training of professionals and patients and using the newest technology in the management of the disease. In this article, we review the latest research and evidence on effective models of diabetes prevention and diabetes care delivery in low- income settings. We also provide existing evidence relating to the effectiveness of these models in low-resource contexts, with the aim to highlight characteristics and strengths that make their implementation successful and long-lasting.

【 授权许可】

Unknown