Chronic cardiovascular diseases (CVD) impose new challenges to the physician-patient relationship in modern society. The ageing of the population and the social deadaptation necessitate a medical and social model of treatment of the chronic CVD. In the cases of acute conditions, the physician dominates in the treatment process, removes the cause and prevents the consequences. In the cases of ch...

©2004 Association of Schools of Public Health In 2000, approximately 125 million Americans (45% of the population) had chronic conditions and 61 million (21% of the population) had multiple chronic conditions. The number of people with chronic conditions is projected to increase steadily for the next 30 years. While current health care financing and delivery systems are designed primarily to tr...

This issue was addressed in the Medical Outcomes Study, which compared the functioning and well-being of patients with (1) depressive symptoms, (2) a depressive disorder (major depression, dysthymia, or major depression plus dysthymia), and (3) eight current chronic medical conditions (hypertension, diabetes, angina, advanced coronary heart disease, arthritis, back problems, lung problems, or a...

The availability of reliable transportation is critical to health outcomes, particularly for low-income Americans with chronic health conditions. When lack of transportation impedes medical treatment, chronic conditions can be exacerbated and potentially lead to increased use of emergency medical services. Medicaid’s non-emergency medical transportation (NEMT) benefit seeks to fill in transport...

OBJECTIVES To compare the medical comorbidity of older patients with and without dementia in primary care. DESIGN Cross-sectional study. SETTING Wishard Health Services, which includes a university-affiliated, urban public hospital and seven community-based primary care practice centers in Indianapolis. PARTICIPANTS Three thousand thirteen patients aged 65 and older attending seven primar...

OBJECTIVE This study examines the correlates of self-diagnosis of chronic medical and mental health conditions in under-served minority populations. The Behavioral Model for Vulnerable Populations was employed to compare the predisposing and enabling characteristics of two groups: the first group consisted of individuals who self-reported their medical conditions without a presumptive or defini...