PDF(Pubmed)
Abstract：
The alarming state of global insulin access in low-resource settings presents a major barrier to diabetes care. A comprehensive review of these challenges is lacking at the global level. To address this weakness, enhance affordability and build capacity for a more sustainable approach to scaling up access. This review analyzes the specific issue of inconsistent access to insulin in low- and middle-income countries. Using this analysis, we mapped the scope and intensity of issues such as the unaffordability and unavailability of insulin. We also identified six innovative and integrative strategies for increasing and securing accessibility in the areas of policy making, marketing, clinical practice, health education, domestication, and multisectoral approaches.
摘要：
在低资源环境中，全球胰岛素获取的惊人状态是糖尿病护理的主要障碍。在全球一级缺乏对这些挑战的全面审查。为了解决这个弱点，提高可负担性，并建设能力，以更可持续的方式扩大准入。这篇综述分析了低收入和中等收入国家获得胰岛素不一致的具体问题。使用此分析，我们绘制了诸如胰岛素负担不起和缺乏等问题的范围和强度。我们还确定了六项创新和综合战略，以增加和确保政策制定领域的可及性，市场营销，临床实践，健康教育,驯化,和多部门方法。
