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Multiple chronic conditions: a public health challenge.

机译:多种慢性疾病:公共卫生挑战。

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摘要

The number of Americans with chronic conditions has steadily increased in recent decades. Almost half of the American population suffers from chronic illness, the leading cause of death and disability in the U.S. Defined as conditions that last a year or more and require ongoing care and/or limit activities of daily living, chronic conditions include hypertension, respiratory diseases, arthritis, heart disease, diabetes, cancer, and dementia, among others. While it may not be surprising that more and more Americans have a chronic condition, what is striking is that almost one in four Americans (approximately 75 million people) have multiple chronic conditions (MCCs). It is not uncommon in today's hospitals and outpatient clinics for clinicians to examine and treat patients with five, six, or even seven chronic conditions. Remarkably, older adults with five or more chronic illnesses have, on average, 50 prescriptions filled, see 14 different physicians, and make 37 physician office visits per year.
机译:近几十年来,患有慢性病的美国人数量一直在稳定增长。几乎一半的美国人口患有慢性疾病,这是美国死亡和残疾的主要原因。定义为持续一年或一年以上,需要持续护理和/或限制日常生活活动的疾病,慢性疾病包括高血压,呼吸系统疾病,关节炎,心脏病,糖尿病,癌症和痴呆症等。虽然越来越多的美国人患有慢性病并不奇怪,但令人惊讶的是,几乎四分之一的美国人(约7500万人)患有多种慢性病(MCC)。在当今的医院和门诊诊所,临床医生对患有五,六,甚至七种慢性病的患者进行检查和治疗并不少见。值得注意的是,患有5种或5种以上慢性病的老年人平均要开50张处方,看14位不同的医生,每年要进行37次医生就诊。

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