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Management im GesundheitswesenBusse R (2012): Dealing with chronic disease - The role of structured programmes and guidelines (Editorial). Health Policy 107(2-3): 105-107

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Dealing with chronic disease - The role of structured programmes and guidelines (Editorial).

Busse R
Health Policy 107(2-3): 105-107




Ageing populations and advances in medical technologies together create a situation in which chronic diseases are increasingly impacting on health systems in Europe and globally. Chronic diseases – such as diabetes, chronic heart failure, coronary artery disease, asthma, COPD, depression or certain types of cancer – require a long-term perspective, first in tackling their determinants and so preventing them from occurring, but also in developing often complex “disease management” programmes needed to manage them, in which different health professionals intervene both simultaneously and consecutively. Such programmes are increasingly implemented in healthcare systems worldwide in order to enhance quality and continuity of care for the chronically ill, whilst making efficient use of healthcare resources. … In this issue the same group of authors address another open question in regard to structured programmes for chronically ill, namely whether and how the concept of structured programmes designed around one chronic illness can be expanded to care for patients with multiple chronic conditions. … As the improvement of clinical processes is a crucial component to improve disease control, which in turn will (hopefully) improve clinical outcomes, clinical guidelines are a central component of activities dealing with the challenges presented by chronic diseases. This is why the European Union, in its role of encouraging exchange of information in support of public health, and therefore facilitating concerted action to optimize responses to the challenges of chronic diseases, is also interested in gathering knowledge on how clinical guidelines for chronic disease prevention and treatment have been developed and implemented in the different Member States. … In this issue of Health Policy, updated results of the three core parts of the report are published. Normal 0 21 false false false DE X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normale Tabelle"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";}



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