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Managing chronic conditions : Experience in eight countries.

NOLTE (Ellen); KNAI (Cécile); MCKEE (Martin); et al.
Collectivité auteur
European observatory on Health Systems and Policies. Copenhagen. INT
2008, pages 202p., pdf, tabl., fig., réf.bibl., DNK.
World Health Organisation (WHO), Copenhagen
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One of the greatest challenges facing health systems in the 21st century is the need to develop effective approaches to address the growing burden of chronic disease. Chronic diseases are complex and require a long-term, multifaceted response that coordinates inputs from a wide range of health professionals, essential medicines and - where appropriate - monitoring equipment, all of which is optimally embedded within a system that promotes patient empowerment. With many health systems still largely built around an acute, episodic model of care, health professionals, policy-makers and patient organizations struggle to respond in ways that meet the needs of people with complex chronic health problems. This book examines the health system response to the rising burden of chronic disease in eight countries : Denmark, England, France, Germany, the Netherlands, Sweden, Australia and Canada. It provides a detailed assessment of the current situation, a description of the policy framework and future scenarios, as well as evaluation and lessons learned. It shows that many different strategies are being implemented, with different models of care at varying degrees of development, and with differing comprehensiveness. Perhaps not surprisingly, the approaches adopted often reflect the characteristics of each health system, each with its own governance mechanisms and relationships between, and responsibilities of, different stakeholders. Nonetheless, there are many lessons for those seeking to develop effective responses to this common challenge.
Mots-clés BDSP
Maladie chronique Prévention Surveillance épidémiologique Programme santé Politique santé Monde Europe Danemark France Allemagne Pays Bas Suisse Royaume Uni Australie Canada Organisation soins
Mots-clés Pascal
Chronique Maladie Prévention Epidémiologie Surveillance sanitaire Programme sanitaire Politique sanitaire Monde Europe Danemark France Allemagne Pays bas Suisse Royaume Uni Australie Canada Organisation Soin
Mots-clés Pascal anglais
Chronic Disease Prevention Epidemiology Sanitary surveillance Sanitary program Health policy World Europe Denmark France Germany Netherlands Switzerland United Kingdom Australia Canada Organization Care
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EHESP - Ecole des hautes études en santé publique

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