Román P, Ruiz-Cantero A
Servicio de Medicina Interna, Hospital General de Requena, Requena, Valencia, España.
Servicio de Medicina Interna. Hospital de la Serranía de Ronda, Ronda, Málaga, España.
Rev Clin Esp (Barc). 2017 May;217(4):229-237. doi: 10.1016/j.rce.2017.01.007. Epub 2017 Feb 28.
Improvements in living conditions and scientific advances have led to an unprecedented demographic change. The curing of numerous acute diseases and the growing adoption of unhealthy lifestyles have caused a pandemic of cumulative chronic diseases that constitute the leading cause of death worldwide. Currently, the most common situation is the coexistence of multiple chronic diseases (or polypathology). This situation undermines socio-economic development and increases inequality. This results in an overriding need to change the way in which health and disease are addressed. Healthcare systems are not prepared to meet the needs of complex polypathological patients. In this article, we summarise the challenges facing healthcare systems and states, as well as the main recommendations from the organisations responsible for healthcare.
生活条件的改善和科学进步导致了前所未有的人口结构变化。众多急性疾病的治愈以及不健康生活方式的日益流行，引发了一场累积性慢性病的大流行，这些慢性病构成了全球主要的死亡原因。目前，最常见的情况是多种慢性病（或多病共存）并存。这种情况破坏了社会经济发展，加剧了不平等。这导致迫切需要改变处理健康和疾病的方式。医疗保健系统尚未准备好满足复杂的多病共存患者的需求。在本文中，我们总结了医疗保健系统和各国面临的挑战，以及负责医疗保健的组织的主要建议。
