Meeting the needs of chronically ill people

doi:10.1136/bmj.323.7319.945

BMJ 2001;323:945-946 ( 27 October )

Editorials

Meeting the needs of chronically ill people

Socioeconomic factors, disabilities, and comorbid conditions are obstacles

Papers pp 962, 968 See also Primary care p 970

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

This special issue of the BMJ and this month's issue of the Western Journal of Medicine once again focus on the needs of patientswith chronic illness, on the advances in clinical and behaviouralmanagement, and on the challenges of assuring that patients receiveoptimal care. Achieving such optimal care challenges both patientsand their care givers. This is especially so in developing countries,which are facing rapid increases in the prevalences of major chronicdiseases.

Evidence based care for many chronic illnesses requires increasingly complicated drug regimens, ongoing support of self management,and close monitoring. Articles in this week's BMJ describe modernmanagement for coronary heart disease, diabetes, asthma, and anticoagulationtherapy. They emphasise that achieving the best possible outcomesdepends on competent self management and decision making by patients,as well as clinicaltreatments.

But audits and surveys of medical practice continue to attest to the difficulty of . . . [Full text of this article]

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