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New models of care for advanced lung disease

机译:晚期肺部疾病的新护理模式

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Chronic lung disease is growing in prevalence and patients are living longer with long-term illness and a high-symptom burden: as these diseases are so common there are now millions of affected individuals and their families living with the sequelae worldwide. This has profound effects on the individual concerned (who is often highly symptomatic with breathlessness), their family, and on health services. There is a growing recognition that the historical model of medical management aimed at the disease alone is not meeting patients' needs and leading to high levels of unscheduled use of medical services at high financial cost and without health gain leading to further frustration for the patient. Service models for palliative care aimed at patients with a rapid deterioration from good health to death can also fail to meet the needs of this group. This paper examines new models of care for patients with advanced lung disease, outlining three services in some detail with a brief review of available evidence. It calls for new ways of evaluating the impact of such services.
机译:慢性肺疾病的患病率正在增加,患有长期疾病和高症状负担的患者寿命更长:由于这些疾病非常普遍,因此全世界有数以百万计的患后遗症的人及其家庭生活。这对有关的个人(经常有呼吸困难的症状),他们的家庭和卫生服务产生深远的影响。人们越来越认识到,仅针对疾病的医疗管理的历史模型不能满足患者的需求,并导致高额的计划外医疗费用,而医疗费用却很高,而且得不到健康,导致患者进一步沮丧。针对从健康状况良好到死亡迅速恶化的患者的姑息治疗服务模型也可能无法满足该群体的需求。本文研究了针对晚期肺部疾病患者的新护理模式,其中详细概述了三项服务,并简要回顾了现有证据。它要求评估这种服务影响的新方法。

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