墨西哥管理妊娠糖尿病的战略框架。

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Luis Alberto Martinez-Juarez, Héctor Gallardo-Rincón, Rodrigo Saucedo-Martínez, Ricardo Mújica-Rosales, Enrique Reyes-Muñoz, Diego-Abelardo Álvarez-Hernández, Roberto Tapia-Conyer
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引用次数: 0

摘要

妊娠期糖尿病(GDM)在墨西哥是一项普遍的健康挑战,影响了10-14%的妊娠,但仅在约5.1%的病例中被发现,突显了卫生保健系统的严重差距。这种诊断不足给母亲和儿童带来严重的健康风险,并反映出更广泛的系统性医疗保健失败。检出率的差异表明筛查方案不足和获得护理的机会不均衡,特别是影响到农村地区。此外,缺乏综合数字医疗解决方案加剧了这些问题,导致诊断病例的管理和随访不一致。目前的被动医疗保健政策未能优先考虑早期干预和全面的患者教育,这对有效的GDM管理至关重要。本文呼吁立即采取协调一致的政策行动,在所有医疗机构中使用更新的协议来标准化GDM筛查,加强数字卫生基础设施以更好地监测和管理,并开展广泛的公共卫生运动,重点关注GDM的认识和教育。应根据正在进行的研究和反馈对这些措施进行严格评价和调整,以确保它们满足人口各阶层的需要。正面应对这些挑战将改善母亲和儿童的健康状况,并降低与GDM并发症相关的长期医疗保健费用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A strategic framework for managing gestational diabetes in Mexico.

Gestational Diabetes (GDM) is a prevalent health challenge in Mexico, affecting 10-14% of pregnancies but detected in only about 5.1% of cases, highlighting a critical gap in the healthcare system. This underdiagnosis poses severe health risks to mothers and children and reflects broader systemic healthcare failures. The disparity in detection rates points to insufficient screening protocols and uneven access to care, particularly affecting rural areas. Additionally, a lack of integrated digital health solutions exacerbates these issues, leading to inconsistent management and follow-up of diagnosed cases. The current reactive healthcare policies fail to prioritize early intervention and comprehensive patient education, crucial for effective GDM management. This paper calls for immediate and coordinated policy action to standardize GDM screening using updated protocols across all healthcare settings, bolster digital health infrastructure for better surveillance and management, and launch an extensive public health campaign focused on GDM awareness and education. These measures should be rigorously evaluated and adapted based on ongoing research and feedback to ensure they meet the needs of all segments of the population. Addressing these challenges head-on will improve health outcomes for mothers and children and reduce long-term healthcare costs associated with GDM complications.

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来源期刊
Global Health Research and Policy
Global Health Research and Policy Social Sciences-Health (social science)
CiteScore
12.00
自引率
1.10%
发文量
43
审稿时长
5 weeks
期刊介绍: Global Health Research and Policy, an open-access, multidisciplinary journal, publishes research on various aspects of global health, addressing topics like health equity, health systems and policy, social determinants of health, disease burden, population health, and other urgent global health issues. It serves as a forum for high-quality research focused on regional and global health improvement, emphasizing solutions for health equity.
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