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Responding to the challenge of chronic diseases: ideas from Europe

Martin Mckee and Ellen Nolte
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DOI: https://doi.org/10.7861/clinmedicine.4-4-336
Clin Med July 2004
Martin Mckee
European Observatory on Health Care Systems, London School of Hygiene and Tropical Medicine
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Ellen Nolte
European Observatory on Health Care Systems, London School of Hygiene and Tropical Medicine
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Abstract

Health systems everywhere face increasing challenges in responding to chronic disease. This paper explores the nature of these challenges, including the increasing burden of chronic disease and the weak evidence that informs clinical and policy responses. It then describes a series of innovations in different parts of Europe that seek to address these challenges: nurse-led clinics; mechanisms to bridge health and social care; and two more comprehensive programmes, Disease Management Programmes in Germany and national service frameworks in England. Finally it discusses how to overcome the barriers to change and the scope for learning from international experience.

  • chronic disease
  • disease
  • management
  • europe
  • integrated care
  • skillmix
  • © 2004 Royal College of Physicians
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Responding to the challenge of chronic diseases
Martin Mckee, Ellen Nolte
Clinical Medicine Jul 2004, 4 (4) 336-342; DOI: 10.7861/clinmedicine.4-4-336

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Responding to the challenge of chronic diseases
Martin Mckee, Ellen Nolte
Clinical Medicine Jul 2004, 4 (4) 336-342; DOI: 10.7861/clinmedicine.4-4-336
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