IN4MATX 131 Lecture Notes - Lecture 15: Chronic Obstructive Pulmonary Disease, Chronic Care Management, Chronic Care
Document Summary
Healthcare is changing from cure to management from treatment to prevention from acute to chronic from physician-centric to patient-centered. Facts about chronic disease (who) responsible for 60% of all deaths worldwide. 80% of deaths occur in low- and middle-income countries. Major risk factors are unhealthy diet, physical inactivity, and tobacco use if major risk factors were eliminated, at least 80% of heart disease, stroke and type 2 diabetes would be prevented; 40% of cancer would be prevented. Chronic care illness any disease that prolongs over three months asthma, diabetes (346 million), hypertension, obesity, cancers, chronic heart diseases, chronic bronchitis, depression. Key to chronic care continuity of care self-management. Patient-management: key to promoting autonomy, responsibility, and self-advocacy caregiver support. Breakdowns in healthcare rushed practitioners not following established practice guidelines lack of care coordination lack of active follow-up to ensure the best outcomes. Patients inadequately trained to manage their illnesses. Where technology could help? support self-management continuity of care (care coordination)