A clinical and managerial challenge
HOPE - European Hospital and Healthcare Federation
Available online PDF [56p.] at: http://bit.ly/ln7i7s
"......Chronic conditions represent today one of the most relevant threats and challenges in Europe. As illustrated in the chart on the left page, WHO data indicates that today between 80% and 90% of deaths are due to chronic diseases.
But what is particularly alarming, is the increasing incidence and prevalence among population as well as the increasing rate of population with multiple chronic conditions.
In all EU Member States chronic diseases creates new challenges in terms of healthcare organisation, balance between the different levels of care and system financing, in a context of growing expectations of the population and possible decrease in resources available. The issue of chronic diseases requires new paradigms of healthcare supply and changes within the system, which are happening effectively at different paces. ....
...While it is obvious that an ageing population and chronic diseases rapidly spreading are major problems everywhere, it is worth noting that the lack of integration and coordination within the system if considered as one of the main weaknesses in most examined countries.
This lack of integration concerns the different levels of the healthcare system: general practitioners, nurses, specialists, primary care institutions and hospitals, as well as community care. Another issue regards actions towards the population and patients to foster cultural change with actions of prevention, awareness and direct information.
The most important transversal issue, however, lies in the financial constraints, which have negative effect both on the people’s ability to access the system, and on the quality of care received.... '
CHAPTER 1 - CHRONIC DISEASES, A CLINICAL AND MANAGERIAL CHALLENGE, WHY?
CHAPTER 2 - STEPS FORWARDS: STRATEGIES TO TACKLE CHRONIC DISEASES
Disease Management Programmes
Integration of Management
Self-Management and Patient Education
New Roles for Health Professionals
Prevention and Early Detection
ICT Innovations and eHealth
CHAPTER 3 - STRATEGIES AGAINST CHRONIC DISEASES AROUND EUROPE:
FINDINGS OF HOPE EXCHANGE PROGRAMME
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