BMJ 2000;320:525-526 ( 26 February )

Editorials

Advances in managing chronic disease

Research, performance measurement, and quality improvement are key

The first 150 words of the full text of this article appear below.

Chronic diseases have been around as long as humans. But now, in most industrialised nations and in many developing countries, they predominate among the leading causes of death.¹ For many years public health practitioners have recognised the increasing burden of chronic illness.²

Just as chronic disease control has developed into a distinct discipline in public health, so chronic disease management is beginning to develop its own identity as an important component of health care. No longer is each chronic illnessasthma, diabetes, arthritis, etcbeing considered in isolation. Awareness is increasing that similar strategies can be equally effective in treating many different conditions. In recognition of the maturing field, this issue of the BMJand the February issue of its sister journal, the Western Journal of Medicineis devoted to chronic disease management.

Three essential ingredients are required for continued progress in chronic disease management: research, performance measurement, and quality . . . [Full text of this article]

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