中东和北非地区糖尿病相关技术的可得性和可及性

Erum Ghafoor, S. Masood, J. Belkhadir, Mohamed Sultan, M. Sandid, S. Baqai, N. Shegem
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摘要

糖尿病是一种全球性流行病和突发公共卫生事件,在全球范围内导致长期健康问题、心血管疾病、糖尿病性视网膜病变、中风、失明、痴呆、肢体丧失和cd癌症。糖尿病不仅会导致慢性并发症,还会影响生活质量。2021年,与糖尿病相关的死亡总数为670万,卫生支出达到9660亿美元。糖尿病技术是糖尿病管理的新模式,为糖尿病患者的生活创造便利,改善血糖控制,延长预期寿命。中东和北非(MENA)地区的国家不仅在文化、规范、做法、金融和社会经济地位方面各不相同。该地区的高收入国家更容易获得胰岛素泵、连续血糖监测系统和综合自我管理应用等新技术。其中一些模式具有针对糖尿病患者的政府支持系统、报销和补贴政策。相比之下,低收入和中等收入国家的残疾患者仍然难以获得与糖尿病相关的创新,原因是缺乏认识、自付费用高、缺乏训练有素的医疗保健提供者、医疗保健基础设施薄弱、缺乏报销医疗政策、全民覆盖和缺乏医疗保险。中东和北非地区的糖尿病护理管理仍然缺乏现代糖尿病护理技术。
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Availability and accessibility of diabetes-related technologies in IDF-MENA Region
Diabetes is a global epidemic and public health emergency, which leads to long-term health problems, cardiovascular diseases, diabetic retinopathy, stroke, blindness, dementia, limb loss, cd cancers across the globe. Diabetes not only leads to chronic complications but also compromises the quality of life. Diabetes-related deaths totaled 6.7 million in 2021, with health expenditure reaching USD 966 billion. Diabetes technologies are new novel modalities for the management of diabetes to create ease in the life of people living with diabetes, improve glycemic control and increase life expectancies. The Middle East and North Africa (MENA) Region consists of countries that are diverse not only in terms of culture, norms, practices, and financial and socioeconomic status. The high-income countries in this region have better access to new technologies such as insulin pumps, continuous glucose monitoring (CGM) systems, and integrated self-management applications. Some of these modalities have government support systems, reimbursement, and subsidy policies for people with diabetes (PWD). In contrast, PWD from low- and middle-income countries still find it difficult to access diabetes-related innovations due to lack of awareness, high out-of-pocket costs, lack of trained healthcare providers, weak healthcare infrastructure, absence of reimbursement health policies, universal coverage and lack of health insurance. Diabetes care management in the MENA Region is still deprived of modern diabetes care technologies.
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