Brunner-La Rocca Hans-Peter, Fleischhacker Lutz, Golubnitschaja Olga, Heemskerk Frank, Helms Thomas, Hoedemakers Thom, Allianses Sandra Huygen, Jaarsma Tiny, Kinkorova Judita, Ramaekers Jan, Ruff Peter, Schnur Ivana, Vanoli Emilio, Verdu Jose, Zippel-Schultz Bettina
Heart Failure Clinic, Department of Cardiology, Maastricht University Medical Center, PO Box 5800, 6202AZ Maastricht, The Netherlands.
Fleischhacker GmbH, Schwerte, Germany.
EPMA J. 2016 Jan 30;7(1):2. doi: 10.1186/s13167-016-0051-9. eCollection 2015.
Chronic diseases are the leading causes of morbidity and mortality in Europe, accounting for more than 2/3 of all death causes and 75 % of the healthcare costs. Heart failure is one of the most prominent, prevalent and complex chronic conditions and is accompanied with multiple other chronic diseases. The current approach to care has important shortcomings with respect to diagnosis, treatment and care processes. A critical aspect of this situation is that interaction between stakeholders is limited and chronic diseases are usually addressed in isolation. Health care in Western countries requires an innovative approach to address chronic diseases to provide sustainability of care and to limit the excessive costs that may threaten the current systems. The increasing prevalence of chronic diseases combined with their enormous economic impact and the increasing shortage of healthcare providers are among the most critical threats. Attempts to solve these problems have failed, and future limitations in financial resources will result in much lower quality of care. Thus, changing the approach to care for chronic diseases is of utmost social importance.
慢性病是欧洲发病和死亡的主要原因，占所有死因的2/3以上，占医疗费用的75%。心力衰竭是最突出、最普遍且最复杂的慢性病之一，并伴有多种其他慢性病。目前的护理方法在诊断、治疗和护理过程方面存在重大缺陷。这种情况的一个关键方面是利益相关者之间的互动有限，慢性病通常是孤立处理的。西方国家的医疗保健需要一种创新方法来应对慢性病，以提供护理的可持续性，并限制可能威胁当前系统的过高成本。慢性病患病率的上升及其巨大的经济影响，以及医疗保健提供者的日益短缺，是最关键的威胁之一。解决这些问题的尝试已经失败，未来财政资源的限制将导致护理质量大幅下降。因此，改变慢性病的护理方法具有极其重要的社会意义。
