Gaga Mina, Powell Pippa, Almagro Marta, Tsiligianni Ioanna, Loukides Stelios, Roca Josep, Cullen Matthew, Simonds Anita K, Ward Brian, Saraiva Isabel, Troosters Thierry, Robalo Cordeiro Carlos
7th Resp. Med. Dept and Asthma Center, Athens, Greece.
European Lung Foundation, Sheffield, UK.
ERJ Open Res. 2019 Sep 25;5(3). doi: 10.1183/23120541.00126-2019. eCollection 2019 Jul.
As the average age of the population increases, so will the prevalence of chronic respiratory diseases and associated multimorbidity. This will result in a more complex clinical environment. Part of the solution will be to allow patients to be co-creators in the design of their care. It will also require clinicians to shift in their current approaches to care, step out of the disease- or pathology-oriented approach and embrace new ideas. In an effort to prepare the respiratory community for the challenge, we reflect on concepts to empower patients multidisciplinary systems, new technologies and transition from end-of-life care to advanced care planning.
随着人口平均年龄的增长,慢性呼吸道疾病及相关多种疾病的患病率也会上升。这将导致临床环境更加复杂。部分解决办法是让患者参与到自身护理方案的设计中。这也要求临床医生改变当前的护理方式,摒弃以疾病或病理为导向的方法,接受新观念。为使呼吸医学领域做好应对挑战的准备,我们思考了一些理念,包括赋予患者权力、多学科系统、新技术以及从临终关怀向提前护理规划的转变。