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Assessing chronic disease management in …

ISBN 92890503029789289050302 The rising burden of chronic illness, in particular the rapid increase in the number of people withmultiple health problems, is a challenge to health systems globally. Associated premature mortalityand reduced physical functioning, along with higher use of health services and related costs, areamong the key concerns faced by policy-makers and is a clear need to redesign delivery systems in order to better meet the needs created bychronic conditions, moving from the traditional, acute and episodic model of care to one that bettercoordinates professionals and institutions and actively engages service users and their countries have begun this process but it has been difficult to reach conclusions about thebest approach to take: care models are highly context-dependent and scientifically rigorous evaluations have been chronic disease management in European health systemsexplores some of the key issues, ranging from interpreting the evidence base to Assessing the policy context for, and approaches to, chronic disease management across Europe.

vi Assessing chronic disease management in European health systems 3.6.2 There is a trend towards strengthening the role of nurses in care delivery and coordination 71

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