ISSN 1662-4009 (online)

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Yearbook of Paediatric Endocrinology 2023

11. Global Health for the Paediatric Endocrinologist

Improving Access to Healthcare in Pediatric Endocrinology and Diabetes

ey0020.11-1 | Improving Access to Healthcare in Pediatric Endocrinology and Diabetes | ESPEYB20

11.1. Reforming the World Health Organization's Essential Medicines List: essential but unaffordable

TJ Hwang , AS Kesselheim , KN Vokinger

Brief summary: The WHO List of Essential Medicines now includes more than 400 medicines. The addition to the list of medicines considered effective, safe, and important for priority public health is made increasingly complicated by the high cost of new drugs. This commentary recommends a new approach whereby consideration would be given separately to economic aspects and to clinical benefits.Every two years, the WHO publishes a revised List of Essential ...

ey0020.11-2 | Improving Access to Healthcare in Pediatric Endocrinology and Diabetes | ESPEYB20

11.2. Determining the efficiency path to universal health coverage: cost-effectiveness thresholds for 174 countries based on growth in life expectancy and health expenditures

A Pichon-Riviere , M Drummond , A Palacios , S Garcia-Marti , F Augustovski

Brief summary: This article develops a framework to assess the effect of adoption of new health interventions on rates of healthcare expenditure using a cost-effectiveness threshold. This detailed economic analysis is applied to 174 countries and would allow decision-makers to evaluate the effects of increased expenditure on overall population health.Health systems face strong pressure to meet the needs of populations, but to do so with scarce resources....

ey0020.11-3 | Improving Access to Healthcare in Pediatric Endocrinology and Diabetes | ESPEYB20

11.3. Ten-year experience of a global and freely accessible e-Learning website for pediatric endocrinology and diabetes

SM Ng , E Kalaitzoglou , A Utari , C van Wijngaard-de Vugt , M Donaldson , JI Wolfsdorf , AM Boot , S Drop

Brief summary: The authors describe the various applications of the content of ESPE’s e-learning website that has been expanding greatly over the last 10 years. The program includes a Limited Resource Setting module that was developed in 2017 and has been translated into French, Spanish, Swahili, and Chinese.This interesting article retraces the successful development of ESPE’s e-learning program since 2012. Thanks to the tenacity and involveme...

ey0020.11-4 | Improving Access to Healthcare in Pediatric Endocrinology and Diabetes | ESPEYB20

11.4. Implementing digital systems in diabetes care in low-income and middle-income countries: successes and challenges

S Bahendeka

Brief summary: This commentary focuses on the barriers and opportunities of digital systems with regards to diabetes care in resource-limited settings. It highlights the importance of developing context-specific and cost-effective models of efficient, integrated, and organised diabetes care delivery.This commentary builds on a more general article on the potential of digital health interventions (1). It focuses on the opportunities for better diabetes ca...