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首页> 外文期刊>Journal of Hepatology: The Journal of the European Association for the Study of the Liver >Care coordination for patients with cirrhosis: A 'win-win' solution for patients, caregivers, providers, and healthcare expenditures
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Care coordination for patients with cirrhosis: A 'win-win' solution for patients, caregivers, providers, and healthcare expenditures

机译：肝硬化患者的护理协调：针对患者，护理人员，提供者和医疗保健支出的“双赢”解决方案

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摘要

We receive with great enthusiasm the recently published article by Morando and his colleagues from the University of Padova regarding their experience with a new model of care coordination in the setting of cirrhosis [1]. The burden of chronic disease is greater now than ever. In the absence of a coordinated effort to prevent, diagnose, and better manage chronic disease, we as a society will bear increasing socioeconomic costs over time. Almost one half of all Americans suffer from one or more chronic diseases [2]. Millions are diagnosed and millions more die annually from a chronic disease. This is a reflection of the changing demographics in the developed world, where mortality from communicable infectious diseases decreases and mortality from non-communicable chronic diseases continues to increase. Enormous scientific advancements in treatment have largely failed to curb this steady rise. Although current health care financing and delivery systems focus on the treatment of acute conditions, 78% of actual healthcare spending is spent on the treatment of chronic conditions [3]. The total burden of chronic diseases on the economy exceeds $1.3 trillion annually; of this amount, $277 billion is spent annually on treatment, with lost productivity totaling $1.1 trillion. At our current pace, by 2023 we can expect a 42% increase in the incidence of chronic disease, totaling $4.2 trillion annually in treatment costs and lost economic output [4].
机译：我们对帕多瓦大学的Morando及其同事最近发表的文章充满热​​情，他们对他们在肝硬化治疗中采用新型护理协调模式的经验表示欢迎[1]。现在，慢性病的负担比以往任何时候都要大。如果没有协调一致的努力来预防，诊断和更好地控制慢性病，随着时间的流逝，我们这个社会将承担越来越高的社会经济成本。几乎所有美国人中有一半患有一种或多种慢性疾病[2]。每年有数百万人被诊断出疾病，每年有数百万人死于慢性疾病。这反映了发达国家人口结构的变化，在这些国家中，传染性传染病的死亡率降低了，非传染性慢性病的死亡率继续提高了。治疗方面的巨大科学进步在很大程度上未能遏制这种稳定的增长。尽管当前的卫生保健筹资和提供系统侧重于治疗急性疾病，但实际医疗保健支出的78％用于治疗慢性疾病[3]。慢性疾病给经济造成的总负担每年超过1.3万亿美元;其中，每年2770亿美元用于治疗，生产力损失总计1.1万亿美元。按照目前的速度，到2023年，我们可以预期慢性病的发病率将增加42％，每年总计4.2万亿美元的治疗费用和经济产出损失[4]。

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