Health Systems Strengthening to Tackle the Global Burden of Pediatric and Congenital Heart Disease: A Diagonal Approach

作     者：Dominique Vervoort Amy Verstappen Sreehari Madhavankutty Nair Chong Chin Eu Bistra Zheleva 

作者机构：Institute of Health PolicyManagement and EvaluationUniversity of TorontoTorontoCanada Division of Cardiac SurgeryUniversity of TorontoTorontoCanada Global Alliance for Rheumatic and Congenital HeartsPhiladelphiaUSA Department of Health ServicesGovernment of KeralaKeralaIndia Ministry of HealthPutrajayaMalaysia Children’s HeartLinkMinneapolisUSA 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2024年第19卷第2期

页      面：131-138页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Canadian Institutes of Health Research (CIHR) Vanier Canada Graduate Scholarship 

主　　题：Congenital heart disease pediatric heart disease global health health systems health policy 

摘      要：1 Background Congenital heart disease(CHD)is the most common major congenital anomaly,affecting approximately one in every 100 live births[1].Among congenital anomalies,66%of preventable deaths are due to CHD,and 58%of the avertable morbidity and mortality due to congenital anomalies would result from scaling congenital heart surgery services[2].Every year,nearly 300,000 children and adults die from CHD,the majority of whom live in low-and middle-income countries(LMICs)[3].Approximately 49%of all individuals with CHD will require surgical or interventional care at some point in their lifetime[4];as a result of advances in access to and the delivery of such services,over 95%of children born with CHD in high-income countries now live into adulthood[3].Here,adults have surpassed children in the number of CHD cases at a ratio of 2:1[5].