伊朗的糖尿病照护：现状与未来展望。
Diabetes Care in Iran: Where We Stand and Where We Are Headed.
机构信息
Endocrinology and Metabolism Research Center, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York.
出版信息
Ann Glob Health. 2015 Nov-Dec;81(6):839-50. doi: 10.1016/j.aogh.2015.10.003.
BACKGROUND
The prevalence of diabetes has steadily increased in Iran from the time of the first published nationally representative survey in 1999 and despite efforts and strategies to reduce disease burden.
OBJECTIVES
The aim of the present review was to describe the current status of diabetes care in Iran.
METHODS
A selective review of the relevant literature, focusing on properly conducted studies, describing past and present diabetes care strategies, policies, and outcomes in Iran was performed.
FINDINGS
The quality of diabetes care has gradually improved as suggested by a reduction in the proportion of undiagnosed patients and an increase in affordability of diabetes medications. The National Program for Prevention and Control of Diabetes has proven successful at identifying high-risk individuals, particularly in rural and remote-access areas. Unfortunately, the rising tide of diabetes is outpacing these efforts by a considerable margin.
CONCLUSIONS
Substantial opportunities and challenges in the areas of prevention, diagnosis, and management of diabetes exist in Iran that need to be addressed to further improve the quality of care and clinical outcomes.
背景
自 1999 年首次发表具有全国代表性的调查以来，伊朗的糖尿病患病率稳步上升，尽管采取了各种措施和策略来减轻疾病负担。
目的
本综述旨在描述伊朗目前的糖尿病护理现状。
方法
对相关文献进行选择性回顾，重点关注经过适当设计的研究，描述伊朗过去和现在的糖尿病护理策略、政策和结果。
发现
随着未确诊患者比例的降低和糖尿病药物可负担性的提高，糖尿病护理质量逐渐得到改善。国家预防和控制糖尿病计划在识别高危人群方面取得了成功，特别是在农村和偏远地区。然而，糖尿病发病率的上升速度远远超过了这些努力。
结论
伊朗在糖尿病的预防、诊断和管理方面存在着巨大的机遇和挑战，需要加以解决，以进一步提高护理质量和临床结果。
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