If diabetes is a public health problem, why not treat it as one? A population-based approach to chronic illness

Citation
Re. Glasgow et al., If diabetes is a public health problem, why not treat it as one? A population-based approach to chronic illness, ANN BEHAV M, 21(2), 1999, pp. 159-170
Citations number
132
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Psycology
Journal title
ANNALS OF BEHAVIORAL MEDICINE
ISSN journal
0883-6612 → ACNP
Volume
21
Issue
2
Year of publication
1999
Pages
159 - 170
Database
ISI
SICI code
0883-6612(199921)21:2<159:IDIAPH>2.0.ZU;2-7
Abstract
It is increasingly acknowledged that diabetes and other chronic illnesses a re major public health problems. Medicare and many managed health care orga nizations have recognized the enormous personal and societal costs of uncon trolled diabetes in terms of complications, patient quality of life, and he alth care system resources. However the current system of reactive acute-ep isode focused disease care practiced in many settings does not adequately a ddress this public health problem. An alternative proactive, population-bas ed approach to chronic illnesses such as diabetes is proposed and illustrat ed. This multilevel systems approach addresses supportive and inhibitory so cial-environmental factors at multiple levels (personal, family, health car e team, work, neighborhood, community). Key disciplines contributing to a p opulation-based approach to diabetes include epidemiology, behavioral scien ce, health care services, public health, health economics, and quality of l ife professions. Current and potential contributions of each of these disci plines are illustrated and an integrative, population-based systems approac h to diabetes management and prevention of complications is proposed. This approach is also seen as applicable to other chronic illnesses.