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Caring for People with Chronic Conditions: A Health System Perspective

dianagosalvez Diana Gosálvez Prados last modified 14/03/2011 13:26

The complex nature of many chronic diseases, which affect people in many different ways, requires a multifaceted response that will meet the needs of the individual patient. Yet while there is agreement that the traditional relationship between an individual patient and a single doctor is inappropriate, there is much less agreement about what should replace it.

Nolte E, Mckee M. Caring for People with Chronic Conditions: A Health System Perspective. Brussels: European Observatory on Health Systems and Policies series; 2008. Available at: http://www.euro.who.int/en/home/projects/observatory/publications/studies/caring-for-people-with-chronic-conditions.-a-health-system-perspective



Many countries are now experimenting with new approaches to delivering care in ways that do meet the complex needs of people with chronic disorders, redesigning delivery systems to coordinate activities across the continuum of care. Yet while integration and coordination have an intuitive appeal, policy makers have had little to help them decide how to move forward.

The book systematically examines some of the key issues involved in the care of those with chronic diseases. It synthesises the evidence on what we know works (or does not) in different circumstances. From an international perspective, it addresses the prerequisites for effective policies and management of chronic disease.

Taking a whole systems approach, the book:

  • Describes the burden of chronic disease in Europe
  • Explores the economic case for investing in chronic disease management
  • Examines key challenges posed by the growing complexity in healthcare including prevention, the role of self-management, the healthcare workforce, and decision-support
  • Examines systems for financing chronic care
  • Analyses the prerequisites for effective policies for chronic care

Caring for People with Chronic Conditions is key reading for health policy makers and health care professionals, as well as postgraduate students studying health policy, health services research, health economics, public policy and management.

European Observatory on Health Systems and Policies