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…………..”
1 LIVING WELL WITH CHRONIC ILLNESS
2 CHRONIC ILLNESSES AND THE PEOPLE WHO LIVE WITH THEM
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
* * *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ KMC Area]
“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.