Быть готовым к хроническим болезням

МОНРЕАЛЬ – Многим из нас внушает ужас перспектива получить обездвиживающий полностью или частично инсульт или инфаркт с летальным исходом. Однако немногие так же эмоционально относятся к угрозе хронических болезней, неопределенному и гибкому термину, который главным образом полезен при организации медицинского обслуживания. И все же хронические болезни стали главной социальной проблемой, которая требует коллективного ответа.

Исторически, к хроническим болезням относят такие болезни, которые длятся долгий период. Однако по мере улучшения деятельности медицины этот термин стал относиться к пространному перечню специфических болезней, включая сердечно-сосудистые заболевания, рак и диабет, но не к инфекционным заболеваниям, таким как туберкулез и малярия или психические расстройства.

В девятнадцатом веке хронические болезни считались не совсем ясными, потому что больных с такими болезнями в больницах было немного, и в основном больницы специализировались на лечении острых излечимых болезней. Но хронические заболевания вскоре стали более крупной проблемой здравоохранения, поскольку начала расти смертность от рака, сердечно-сосудистых заболеваний и диабета. На самом деле рост числа смертельных случаев от этих болезней скорее всего произошел в связи с улучшением качества идентификации и диагнозов. Заполнение свидетельств о смерти не является точной наукой, и врачи концентрировали внимание на тех причинах, с которыми они были знакомы.

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