Servicio de neumología, Hospital Arnau de Vilanova, Valencia, España; CIBER de Enfermedades Respiratorias (CIBERES), España.
Servicio de neumología, Hospital Arnau de Vilanova, Valencia, España.
Arch Bronconeumol. 2015 Aug;51(8):396-402. doi: 10.1016/j.arbres.2014.10.007. Epub 2014 Dec 29.
Longer life expectancy and the progressive aging of the population is changing the epidemiological pattern of healthcare, with a reduction in the incidence of acute diseases and a marked increase in chronic diseases. This change brings important social, healthcare and economic consequences that call for a reorganization of patient care. In this respect, the Spanish National Health System has developed a Chronicity strategy that proposes a substantial change in focus from traditional rescue medicine to patient- and environment-centered care, with a planned, proactive, participative and multidisciplinary approach. Some of the more common chronic diseases are respiratory. In COPD, this integrated approach has been effective in reducing exacerbations, improving quality of life, and even reducing costs. However, the wide variety of management strategies, not only in COPD but also in asthma and other respiratory diseases, makes it difficult to draw definitive conclusions. Pulmonologists can and must participate in the new chronicity models and contribute their knowledge, experience, innovation, research, and special expertise to the development of these new paradigms.
预期寿命的延长和人口的老龄化正在改变医疗保健的流行病学模式，急性疾病的发病率下降，慢性疾病显著增加。这种变化带来了重要的社会、医疗和经济后果，需要对患者护理进行重新组织。在这方面，西班牙国家卫生系统制定了一项慢性病战略，该战略提议从传统的急救医学向以患者和环境为中心的护理进行重大转变，采用计划性、主动性、参与性和多学科的方法。一些常见的慢性病是呼吸道疾病。在 COPD 中，这种综合方法在减少恶化、提高生活质量甚至降低成本方面是有效的。然而，不仅在 COPD 中，而且在哮喘和其他呼吸道疾病中，管理策略的多样性使得很难得出明确的结论。肺科医生可以而且必须参与新的慢性病模式，并为这些新模式的发展贡献他们的知识、经验、创新、研究和专业专长。
