scholarly journals Towards evidence‐based integration of services for HIV, non‐communicable diseases and substance use: insights from modelling

2020 ◽  
Vol 23 (S1) ◽  
Author(s):  
David W Dowdy ◽  
Kimberly A Powers ◽  
Timothy B Hallett
Author(s):  
Brian Godman ◽  
Joseph Fadare ◽  
Hye-Young Kwon ◽  
Carolina Zampirolli Dias ◽  
Amanj Kurdi ◽  
...  

Aim: Global expenditure on medicines is rising up to 6% per year driven by increasing prevalence of non-communicable diseases (NCDs) and new premium priced medicines for cancer, orphan diseases and other complex areas. This is difficult to sustain without reforms. Methods: Extensive narrative review of published papers and contextualizing the findings to provide future guidance. Results: New models are being introduced to improve the managed entry of new medicines including managed entry agreements, fair pricing approaches and monitoring prescribing against agreed guidance. Multiple measures have also successfully been introduced to improve the prescribing of established medicines. This includes encouraging greater prescribing of generics and biosimilars versus originators and patented medicines in a class to conserve resources without compromising care. In addition, reducing inappropriate antibiotic utilization. Typically, multiple measures are the most effective. Conclusion: Multiple measures will be needed to attain and retain universal healthcare.


2020 ◽  
Vol 19 (3) ◽  
pp. 2567
Author(s):  
S. Yu. Martsevich ◽  
N. P. Kutishenko ◽  
Yu. V. Lukina ◽  
S. N. Tolpygina ◽  
L. P. Ivanova ◽  
...  

In the current epidemic of a new coronavirus infection, COVID-19 treatment of patients with chronic non-communicable diseases (NCDS) and cardiovascular diseases (CVD), in particular, requires close attention of doctors. The main objectives of such patients’ management tactics are to ensure that patients comply with self-isolation measures that prevent infection, motivate patients to follow all medical recommendations. Special attention should be paid to comply with recommended treatment of CVD. In the case of an infectious disease, it is necessary to assess the prescribed therapy for interaction with medications already taken by the patient. However, the tactics for COVID-19 therapy, including in patients with NCDS, may change over time, since there are currently no drugs with proven effectiveness for the treatment of a new coronavirus infection.


2020 ◽  
Vol 14 (S1) ◽  
Author(s):  
Florence Sécula ◽  
Séverine Erismann ◽  
Carolina Cerniciuc ◽  
Angel Chater ◽  
Lion Shabab ◽  
...  

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