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Implementing Chronic Disease Self-Management Approaches in Australia and the United Kingdom

机译:在澳大利亚和英国实施慢性病自我管理方法

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Most nations have responded to the current and projected burden of chronic illnesses by promoting patient centered care and self-management approaches (1). In the current paper, we focus on Australia and the UK where chronic illness has a major impact upon the burden of disease on individuals, society and its institutions, and the use of health services1. Thus of necessity, Australian and UK health policy, funding, and service delivery have a strong focus upon chronic disease and its treatment and prevention. It is noteworthy that both the UK and Australia fund individual health care costs through universal insurance paid from general taxation rather than via a user pays model and this strongly and positively impacts on service access and equity. Further, both countries’ policies on chronic disease management have been influenced by Wagner’s Chronic Care Model (3) and Lorig’s chronic disease self-management program (4).
机译:大多数国家通过推广以患者为中心的护理和自我管理方法来应对当前和预计的慢性病负担(1)。在本文中,我们将重点放在澳大利亚和英国,在这些国家,慢性病会对个人,社会及其机构的疾病负担以及医疗服务的使用产生重大影响1。因此,澳大利亚和英国的卫生政策,资金和服务提供都十分重视慢性病及其治疗和预防。值得注意的是,英国和澳大利亚都是通过一般税收支付的全民保险而不是通过用户付费模型来支付个人医疗保健费用,这对服务获得和公平性产生了积极的影响。此外,两国的慢性病管理政策都受到了Wagner的慢性护理模式(3)和Lorig的慢性病自我管理计划(4)的影响。

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