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      CASALUD: an innovative health-care system to control and prevent non-communicable diseases in Mexico.

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          Abstract

          Mexico and other Latin American countries are currently facing a dramatic increase in the number of adults suffering from non-communicable diseases (NCDs) such as diabetes, cardiovascular disease (CVD) and chronic kidney disease (CKD), which require prolonged, continuous care. This epidemiological shift has created new challenges for health-care systems. Both the World Health Organization (WHO) and the United Nations (UN) have recognised the growing human and economic costs of NCDs and outlined an action plan, recognising that NCDs are preventable, often with common preventable risk factors linked to risky health behaviours. In line with international best practices, Mexico has applied a number of approaches to tackle these diseases. However, challenges remain for the Mexican health-care system, and in planning a strategy for combating and preventing NCDs, it must consider how best to integrate these strategies with existing health-care infrastructure. Shifting the paradigm of care in Mexico from a curative, passive approach to a preventive, proactive model will require an innovative and replicable system that guarantees availability of medicines and services, strengthens human capital through ongoing professional education, expands early and continuous access to care through proactive prevention strategies and incorporates technological innovations in order to do so. Here, we describe CASALUD: an innovative model in health-care that leverages international best practices and uses innovative technology to deliver NCD care, control and prevention. In addition, we describe the lessons learned from the initial implementation of the model for its effective use in Mexico, as well as the plans for wider implementation throughout the country, in partnership with the Mexican Ministry of Health.

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          Author and article information

          Journal
          Perspect Public Health
          Perspectives in public health
          1757-9139
          1757-9147
          Jul 2015
          : 135
          : 4
          Affiliations
          [1 ] Carlos Slim Health Institute, Mexico City, Mexico.
          [2 ] Carlos Slim Health Institute, Mexico City, Mexico hgallardo@salud.carlosslim.org.
          Article
          1757913913511423
          10.1177/1757913913511423
          24285554
          f2c7c67e-d405-460b-9848-bc1ee60010eb
          © Royal Society for Public Health 2013.
          History

          Latin America,Mexico,NCDs,innovation,non-communicable diseases,policy,prevention,primary health care,public health,technology

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