PDF(Pubmed)
Abstract：
Hypertension is a leading cause of mortality globally and one of the most common risk factors for cardiovascular disease. Diagnosis, awareness, and optimal treatment rates are suboptimal, especially in low- and middle-income countries, with attendant high health consequences and grave socioeconomic impact. There is an enormous gap between disease burden and physician-patient ratios that needs to be bridged. Task sharing and task shifting (TSTS) provide a viable temporary solution. However, sociocultural, demographic, and economic factors influence the effective uptake of such interventions. This review discusses the dynamics of TSTS in the African context looking at challenges, feasibility, and approach to adopt it in the management of hypertension in Africa.
摘要：
高血压是全球死亡的主要原因，也是心血管疾病最常见的危险因素之一。诊断,意识,最佳治疗率是次优的，特别是在低收入和中等收入国家，伴随着严重的健康后果和严重的社会经济影响。疾病负担和医患比例之间存在巨大的差距，需要弥合。任务共享和任务转移(TSTS)提供了可行的临时解决方案。然而,社会文化,人口统计学,和经济因素影响这些干预措施的有效采用。这篇综述讨论了非洲背景下TSTS的动态，着眼于挑战，可行性,以及在非洲高血压管理中采用它的方法。
