Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The growing caseload of chronic life-long conditions calls for a move towards full selfmanagement in low-income countries | van Olmen et al. Globalization and Health 2011 7 38 http content 7 1 38 H2 globalization 7 AND HEALTH DEBATE Open Access The growing caseload of chronic life-long conditions calls for a move towards full selfmanagement in low-income countries Josefien van Olmen1 Grace Marie Ku2 Raoul Bermejo3 Guy Kegels1 Katharina Hermann4 and Wim Van Damme1 Abstract Background The growing caseload caused by patients with chronic life-long conditions leads to increased needs for health care providers and rising costs of health services resulting in a heavy burden on health systems populations and individuals. The professionalised health care for chronic patients common in high income countries is very labour-intensive and expensive. Moreover the outcomes are often poor. In low-income countries the scarce resources and the lack of quality and continuity of health care result in high health care expenditure and very poor health outcomes. The current proposals to improve care for chronic patients in low-income countries are still very much provider-centred. The aim of this paper is to show that present provider-centred models of chronic care are not adequate and to propose full self-management as an alternative for low-income countries facilitated by expert patient networks and smart phone technology. Discussion People with chronic life-long conditions need to rebalance their life in order to combine the needs related to their chronic condition with other elements of their life. They have a crucial role in the management of their condition and the opportunity to gain knowledge and expertise in their condition and its management. Therefore people with chronic life-long conditions should be empowered so that they become the centre of management of their condition. In full self-management patients become the hub of management of their own care and take full responsibility for their condition supported by peers professionals and information and communication
