Epping-Jordan JoAnne E
Chronic Diseases and Health Promotion (CHP), Noncommunicable Diseases and Mental Health (NMH), World Health Organization, Geneva, Switzerland.
Kidney Int Suppl. 2005 Sep(98):S86-8. doi: 10.1111/j.1523-1755.2005.09816.x.
Integrated approaches to prevention and control of chronic conditions. Chronic conditions currently account for more than 50% of the global disease burden, and this figure is projected to continue to rise. Yet, around the world, health care systems are not organized to provide effective and efficient care for chronic health problems. Health care systems have evolved around the concept of acute, infectious disease, and they perform best when addressing patients' acute and urgent symptoms. Without change, health care systems will grow increasingly inefficient and ineffective. Effective prevention, management, and rehabilitation of chronic conditions require an evolution of health care, away from a model that is focused on acute symptoms toward a coordinated, comprehensive system of care. The results of this shift include less waste and improved efficiency. Integrated health care models that transcend specific illnesses provide a feasible solution. The World Health Organization's Innovative Care for Chronic Conditions Framework provides a flexible but comprehensive model to build or redesign health systems in accord with local resources and demands.
慢性病防控的综合方法。慢性病目前占全球疾病负担的50%以上，预计这一数字还将继续上升。然而，在世界各地，卫生保健系统并未组织起来为慢性健康问题提供有效且高效的护理。卫生保健系统围绕急性传染病的概念发展而来，在处理患者的急性和紧急症状时表现最佳。若不改变，卫生保健系统将变得越来越低效和无效。慢性病的有效预防、管理和康复需要卫生保健的演变，从专注于急性症状的模式转向协调、全面的护理系统。这种转变的结果包括减少浪费和提高效率。超越特定疾病的综合卫生保健模式提供了一个可行的解决方案。世界卫生组织的慢性病创新护理框架提供了一个灵活但全面的模式，可根据当地资源和需求构建或重新设计卫生系统。
