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InnovAiT 2008 1(1):2-3; doi:10.1093/innovait/inm021
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

News & Views

Dr Rodger C Charlton

General Practitioner & Associate Clinical Professor, Warwick Medical School & Honorary Editor, RCGP Publications

E-mail: rodger.charlton@warwick.ac.uk

The first 10% of the full text of this article appears below.


    Future global healthcare crisis
 
Professor Barbara Starfield of the John Hopkins University, Baltimore has written a thought-provoking commentary in the latest edition of the Journal of the American Board of Family Medicine 20:511–2, entitled Global Health, Equity, and Primary Care. She describes the global challenge to primary care and general practice of ageing populations and so more of what she refers to as ‘multimorbidity’. There is an increasing likelihood of survival from acute manifestations of disease and that the costs of care will grow with increasing availability of technological interventions. She says that "World organisations of primary care physicians need to take up the challenge before it becomes a crisis". She describes the approach to organising services using the disease-by-disease orientations as becoming increasingly dysfunctional. She writes: "Multimorbidity is demanding not "chronic disease" management but, rather, a chronic . . . [Full Text of this Article]


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