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Topic Exchange programme 2010 The chronic patient: a clinical and managerial challenge The World Health Organization defines chronic conditions as requiring “ongoing management over a period of years or decades.” Chronic conditions cover a wide range of health problems from heart disease, diabetes and lung diseases to some infectious diseases such as hiv and aids, which can be medically controlled. They also extend to cancer, to certain mental disorders such as depression and schizophrenia and to disabilities and impairments not defined as diseases, such as blindness and musculoskeletal disorders. These conditions require a complex response and a coordinated effort from a wide range of health professionals for an extended period of time. In the European Union, a considerable part of the population report long-standing health problems. There is clearly a growing number of people with multiple health problems, particularly elderly people, as an estimated two thirds of people over 65 years have at least two chronic conditions. In response to this emerging healthcare challenge, many countries have experimented with new models of healthcare delivery to achieve better coordination of services across the continuum of care required by people with chronic conditions. To study some of the underlying issues related to the growing number of patients with chronic conditions, HOPE and the Danish Regions propose exchange participants to work on the topic: “The Chronic Patient: a clinical and managerial challenge”. A series of questions have been identified to facilitate this work. These questions are indicative. On the basis of these questions, health professionals will present their findings and examples of best practice on 16 June 2010.
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