Caring for people with chronic conditions
A health system perspective
Edited by Ellen Nolte and Martin McKee - Open University Press
World Health Organization on behalf of the European Observatory on Health Systems and Policies.
Available online PDF [290p.] at: http://bit.ly/bfLNa7
“………Marked success in reducing deaths from acute illnesses in the past half century has resulted in a new emphasis on chronic diseases. As premature death from acute illness is reduced, the prevalence of conditions that accumulate over time rises, particularly in a world in which greater exposure to unnatural environments increases long term vulnerability to ill health.
Chronic illness, whether resulting from infections (increasingly viral or fungal), external injuries, developmental abnormalities, autoimmune defects, genetic susceptibilities, or cellular degeneration, are a product of multiple influences on health. No longer is there a culpable ‘agent’ of disease causation, and ‘disease’ itself is no longer a straightforward concept.
Diseases, after all, are professionally defined entities without clear biological representations. They can be and are artificially created to suit special interests, and the sum of deaths due to specific diseases in the world exceeds the actual number of deaths. As the case-fatality rate of specific disease decreases, multimorbidity is the result; diseases now rarely exist in isolation in individuals.
Moreover, diseases are but one manifestation of illness; impaired comfort from symptoms, impaired activity from anatomical and physiological derangements, and impaired cognitive and emotional function from biological and psychosocial dysfuntions are legitimate concerns for individuals, subpopulations, and populations……”
Content
Introduction - Ellen Nolte and Martin McKee
The burden of chronic disease in Europe - Joceline Pomerleau, Cécile Knai and Ellen Nolte
Economic aspects of chronic disease and chronic disease management -Marc Suhrcke, Daragh K. Fahey and Martin McKee
Integration and chronic care: a review - Ellen Nolte and Martin McKee
Preventing chronic disease: everybody’s business - Thomas E. Novotny
Supporting self-management - Mieke Rijken, Martyn Jones, Monique Heijmans and Anna Dixon
The human resource challenge in chronic care - Carl-Ardy Dubois, Debbie Singh and Izzat Jiwani
Decision support - Nicholas Glasgow, Isabelle Durand-Zaleski, ElisabethChan and Dhigna Rubiano
Paying for chronic disease care - Reinhard Busse and Nicholas Mays
Making it happen - Ellen Nolte and Martin McKee
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