Care for noncommunicable diseases (NCDs): time for a paradigm-shift.

摘要

Noncommunicable diseases (NCDs) are on the rise and multi-morbidity becomes more and more the rule, no longer the exception. For these patients, disease-management programs are having difficulty in realizing comprehensive care. Therefore, a paradigm-shift from "problem-oriented" toward "goal-oriented" care is needed, reorienting the care toward the goals formulated by the patient. By doing so, we will avoid care that may lead to "inequity by disease".