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The reframing of acquired immune deficiency syndrome (AIDS)from an acute to a chronic disease brought about a different focus for public policy. Now viewed as the end stage of the human immunodeficiency virus (HIV), AIDS has emerged from the plague model. Many biological and social forces...
Acute illness treatment models fatl to meet the needs of the chronically ill. Traditional medical education of physicians fails to adequately prepare them to deliver effective care to community-based patients who will never be well. The wants and needs of patients with chronic illness may be...
Medical treatment of the chronically ill is an art that involves more than the skillful management of physical pathology and more than a charming bedside manner. The art of medicine involves the personal qualities of the physician. These qualities are more often discussed in religious circles...
The prevalence of chronic disease continues to increase as our population ages. Today, many older people have more than one chronic condition. Thus comorbidity is a problem for both the individual and for our health care system. This article discusses the rationale and definition for a...
This article describes chronic care management in ambulatory settings and strategies for integrating care across treatment settings to increase efficiency and improve the quality of chronic care. Chronic care management should be client focused, recognizing the client as the primary care manager...
Provider and patient cultural approaches to disease etiology and illness affect the patient's care-seeking behaviors, treatment options, treatment choices, and compliance with Western medical diagnoses and treatments. This article provides cross-cultural examples of these impacts on several...
Clinical geriatrics and interdisciplinary team care approaches have coevolved during the past 30 years. It has become an article of faith in geriatrics that the goal of multidimensional health for frail elderly patients is most effectively pursued by the interdisciplinary health care team....
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