Managing chronic diseases in less developed countries

doi:10.1136/bmj.325.7370.914

BMJ 2002;325:914-915 ( 26 October )

Editorials

Managing chronic diseases in less developed countries

Healthy teamworking and patient partnership are just as important as adequate funding

Education and debate p 958

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

Throughout the world, chronic diseases $---$ including non-communicable diseases, long term mental disorders, and persistent communicablediseases such as tuberculosis and HIV/AIDS $---$ present a huge challengeto health. As part of the response to this challenge, the WorldHealth Organization has conducted a two year review of healthcaremodels and best practices from around the world and has recentlyreported on this work. The report, Innovative Care for ChronicConditions: Building Blocks for Action, provides a comprehensiveconceptual framework for the prevention and management of longterm illnesses in poorly resourced settings.¹ The most fundamentalissue highlighted by the report is the pressing need to shiftaway from an acute, reactive, and episodic model ofcare.

Instead, health care should facilitate an ongoing relationship between provider and patient and help patients to make fulluse of their own and their community's resources for health.²The focus has to be on . . . [Full text of this article]

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