Living Well with Chronic Illness: A Call for Public Health Action
Board on Population Health and Public Health Practice (BPH)
US Institute of Medicine (IOM) January 31st, 2012
Available online at: http://bit.ly/xQAQqv
“…………..In the United States, chronic diseases currently account for 70 percent of all deaths, and close to 48 million Americans report a disability related to a chronic condition. Today, about one in four Americans have multiple diseases and the prevalence and burden of chronic disease in the elderly and racial/ethnic minorities are notably disproportionate. Chronic disease has now emerged as a major public health problem and it threatens not only population health, but our social and economic welfare…………..”
“……….The report describes the economic consequences of chronic illnesses for individuals, their families, the health care system, and the nation; provides a concerted approach to understanding the dimensions of prevention as they relate to chronic disease control in the community; highlights the populations that experience chronic illnesses disproportionately; considers a wide spectrum of chronic diseases and their clinical stages, their patterns and anticipated course, and the common or cross-cutting burden and consequences of living with chronic illness; details how to improve surveillance systems to better assess and address chronic illnesses; describes the role of public health and community-based interventions for chronic disease management and control; considers the importance of federal policy in enhancing chronic disease control; and highlights the critical role of aligning public health, health care system, and non–health care community services as a system change to better control chronic illnesses.
The committee concludes that all chronic illnesses have the potential to reduce population health by limiting individual capacity to live well. Maintaining or enhancing quality of life for individuals living with chronic illnesses has not been given the attention it needs by health care funders, health systems, policy makers, and public health programs and agencies. There are domains of chronic disease management from a public health perspective for which there is not enough research or program evaluation. Much more needs to be done.
The committee does not recommend a specific set of diseases on which to focus for public health action. Instead, we describe nine exemplar diseases, health conditions, and impairments that have notable implications for the nation’s health and economy; impact quality of life and functional status; cut across many chronic illnesses; complicate and/or increase risks for multiple chronic conditions (MCCs); and impact the community, families, and caregivers of those with chronic illnesses. Each represents an important challenge to public health…………..”
Content
ABSTRACT
SUMMARY
INTRODUCTION
1 LIVING WELL WITH CHRONIC ILLNESS
2 CHRONIC ILLNESSES AND THE PEOPLE WHO LIVE WITH THEM
3 POLICY
4 COMMUNITY-BASED INTERVENTION
5 SURVEILLANCE AND ASSESSMENT
6 INTERFACE OF THE PUBLIC HEALTH SYSTEM, THE HEALTH CARE SYSTEM, AND THE NONHEALTHCARE SECTOR 199-224
7 THE CALL FOR ACTION
APPENDIX A IMPROVING RECOGNITION AND QUALITY OF DEPRESSION CARE IN PATIENTS WITH COMMON CHRONIC MEDICAL ILLNESSES
APPENDIX B NEW MODELS OF COMPREHENSIVE HEALTH CARE FOR PEOPLE WITH CHRONIC CONDITIONS
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