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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Haines, Andy Epping-jordan, Joanne Patel, Vikram Chopra, Mickey Beaglehole, Robert Kidd, Michael Ebrahim, Shah |
| Description | Author Affiliation: Beaglehole R ( University of Auckland, New Zealand.) |
| Abstract | The burden of chronic diseases, such as heart disease, cancer, diabetes, and mental disorders is high in low-income and middle-income countries and is predicted to increase with the ageing of populations, urbanisation, and globalisation of risk factors. Furthermore, HIV/AIDS is increasingly becoming a chronic disorder. An integrated approach to the management of chronic diseases, irrespective of cause, is needed in primary health care. Management of chronic diseases is fundamentally different from acute care, relying on several features: opportunistic case finding for assessment of risk factors, detection of early disease, and identification of high risk status; a combination of pharmacological and psychosocial interventions, often in a stepped-care fashion; and long-term follow-up with regular monitoring and promotion of adherence to treatment. To meet the challenge of chronic diseases, primary health care will have to be strengthened substantially. In the many countries with shortages of primary-care doctors, non-physician clinicians will have a leading role in preventing and managing chronic diseases, and these personnel need appropriate training and continuous quality assurance mechanisms. More evidence is needed about the cost-effectiveness of prevention and treatment strategies in primary health care. Research on scaling-up should be embedded in large-scale delivery programmes for chronic diseases with a strong emphasis on assessment. |
| ISSN | 01406736 |
| e-ISSN | 1474547X |
| Journal | The Lancet |
| Issue Number | 9642 |
| Volume Number | 372 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2008-09-13 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Chronic Disease Prevention & Control Community Health Services Cost-Benefit Analysis Health Priorities Health Promotion Primary Health Care Organization & Administration Public Health Therapy Counseling Global Health Smoking Research Support, Non-U.S. Gov't Medicine |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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