Titre :
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Is everyone with a chronic disease also chronically ill ? (2003)
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Auteurs :
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DE LEPELEIRE J HEYRMAN (J.) : BEL. Department of General Practice Kuleuven.
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Type de document :
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Article
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Dans :
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Archives of public health (vol. 61, n° 3, 2003)
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Pagination :
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161-176
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Langues:
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Anglais
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Mots-clés :
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Homme
;
Pathologie
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Maladie chronique
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Définition
;
Classification
;
Sécurité sociale
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 1R0xg2I8. Diffusion soumise à autorisation]. Caring for chronic patients is a major challenge for society in the Western world. All governments are introducing measures to benefit chronic patients. The question here is : what are chronic diseases and who is chronically ill ? A chronic disease in general practice is an episode of treatment for a defined disease that extends over a long period and is so serious that without treatment "ordinary" everyday activities for the patient's age and sex will be hindered by it to a significant extent and over a long period. The term "chronic" does not say anything about the seriousness of the condition or the stage of disease that has been reached : the patient might have diabetes mellitus which is effectively controlled by oral antidiabetics. A chronic patient is a person with a chronic disease which has a major impact on the everyday activities which are normal for his/her age and sex. There are a number of important principles when it comes to taking measures and making decisions. 1. A positive approach must be taken to the care situation. The starting point should be self-reliance, not the need for care. The new International Classification of Functioning from the World Health Organisation is a useful starting point for this purpose. 2. Clear goals must be established. 3. These must be linked to the real need for care. 4. All this must be assessed on a multidisciplinary basis. 5. Re-evaluation over a period of time is necessary.
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