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Beyond divisive dichotomies in disease classification
The Lancet Global Health ( IF 34.3 ) Pub Date : 2017-11-01 , DOI: 10.1016/s2214-109x(17)30376-5
Felicia Marie Knaul , Octavio Gómez-Dantés , Afsan Bhadelia , Julio Frenk

The divide between communicable and so-called non-communicable diseases (NCDs) is a pervasive, false dichotomy1 of global health. We contribute to the debate on renaming NCDs2 by proposing an integrating framework that considers both the nature of the disease and the characteristics of the required systemic response. In contrast to other renaming suggestions3 which tend to focus on dichotomy, we propose a framework that accounts for systemic responses to coexisting epidemiological profiles, comorbidities in patients, and sustained rather than episodic care.

中文翻译:

在疾病分类中超越分裂二分法

传染病和所谓的非传染病之间的鸿沟是全球健康普遍存在的错误二分法1。我们提出了一个综合框架,考虑了疾病的性质和所需的全身性反应的特征,从而为关于重命名非传染性疾病2的辩论做出了贡献。与倾向于重分法的其他重命名建议3相比,我们提出了一个框架,该框架说明了对共存的流行病学特征,患者合并症以及持续性治疗而不是间歇性治疗的系统性反应。
更新日期:2017-10-10
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