经济转型国家的公共卫生优先事项

Stephen M Tollman, Jessica Price
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本章首先回顾了经济与健康之间的关系,考察了收入增加时健康结果的变化、与经济增长相关的人口结构转变以及城市化对健康结果的影响。然后,它回顾了中等收入国家面临的主要卫生挑战,包括疾病的三重负担、多病、整个生命过程中的精神健康,以及移民、气候变化和抗菌素耐药性的影响。最后,报告讨论了卫生系统面临的挑战,以及建立具有弹性和“学习型”卫生系统的重要性,该系统能够灵活地适应中等收入国家不断变化的卫生需求。我们讨论在中等收入国家实现全民健康覆盖的战略,以及部门间合作在促进健康方面的重要性。
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Public health priorities in countries undergoing economic transition
This chapter starts by reviewing the relationship between the economy and health, looking at changes in health outcome as income increases, demographic transitions related to economic growth, and the impact of urbanization on health outcomes. It then reviews major health challenges facing middle-income countries (MICs), including the triple burden of disease, multimorbidity, mental health across the life course, and the impacts of migration, climate change, and antimicrobial resistance. Finally, it discusses health system challenges and the importance of building resilient and ‘learning’ health systems with the agility to adapt to meet MICs’ evolving health needs. We discuss strategies to achieve universal health coverage in MICs and the importance of intersectoral collaboration in promoting health.
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Health policy in developing countries Prisoners Tobacco Behavioural determinants of health and disease Medical screening
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