H:S Clinical Unit of Health Promotion
WHO Collaborating Centre
for Evidence-Based Health Promotion in Hospitals
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H:S Clinical Unit of Health Promotion |
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Anne Frølich A report from the World Health Organization "Innovative care for chronic conditions 2001" claims that the disease burden has changed as the proportion of chronic diseases has increased dramatically during the last decades but health systems have not changed. There is evidence that effective prevention and treatment is possible but patients do not receive this as Health systems are designed to provide episodic, acute care while chronic conditions are lengthy and require continuity of care. A project on "Optimising care and implementing rehabilitation in patients with chronic conditions" was launched in Copenhagen Hospital Corporation (H:S) in 2003. The project is financed by the Ministry of Interior. The goal of the project is to develop new ways for collaboration between the primary and secondary healthcare sector to ensure high quality of delivered healthcare in patients with chronic conditions. The project goal is supported by the following activities, · Preparation of problem-oriented guidelines for the four chronic conditions · Start off rehabilitation units in the hospital for the four chronic conditions · Start off rehabilitation centres in the primary care sector · Educational activities for health professionals · Improve communication between sectors The project covers four chronic conditions, chronic obstructive lung disease, heart failure, diabetes mellitus type 2, and fall in elderly frail people, and plans to include more conditions over time. Rehabilitation includes the following fundamentals, physical training, patient education, smoking cessation support, dieticians counselling, etc. tailored to the chronic condition in question, and the individual patient needs in accordance with guidelines. Physical training is seen as an essential element in the rehabilitation programmes, and start during the hospital stay, and follow-up is planned after discharge either to the rehabilitation unit in the hospital or to the rehabilitation centre in the primary care sector. Project plans as well as plans for implementation has been developed in tight collaboration between relevant health professionals and representatives from both sectors. |
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Clinical Unit of Health Promotion - Bispebjerg Hospital - DK-2400 Copenhagen NV |
