"Overall, the book walks a delicate balance between evidence and advocacy regarding the care of people with chronic conditions. Nolte and McKee conclude the volume with the following: 'A first step is to recognize that something must be done. A second, which we hope will be facilitated by the evidence provided in this book, is to realize that something actually can be done, and that they can do it (p. 240)'. The overarching desire to match the need for evidence with the reality that advocates (including policy-makers) need a reasoned voice makes the book well suited to health policy deliberations." International Journal of Integrated Care The complex nature of many chronic diseases, which affect people many different ways, requires a multifaceted response that will meet the needs of the individual patient. Yet while everyone agrees that the traditional relationship between an individual patient and a single doctor is inappropriate, there is much less agreement about what should replace it. Many countries are now experimenting with new approaches to delivering care in ways that do meet the complex needs of people with chronic disorders, redesigning delivery systems to coordinate activities across the continuum of care. Yet while integration and coordination have an intuitive appeal, policy makers have had little to help them decide how to move forward. The book systematically examines some of the key issues involved in the care of those with chronic diseases. It synthesises the evidence on what we know works (or does not) in different circumstances. From an international perspective, it addresses the prerequisites for effective policies and management of chronic disease. Taking a whole systems approach, the book: Describes the burden of chronic disease in Europe Explores the economic case for investing in chronic disease management Examines key challenges posed by the growing complexity in healthcare including prevention, the role of self-management, the healthcare workforce, and decision-support Examines systems for financing chronic care Analyses the prerequisites for effective policies for chronic careCaring for People with Chronic Conditions is key reading for health policy makers and health care professionals, as well as postgraduate students studying health policy, health services research, health economics, public policy and management. Contributors: Reinhard Busse, Elisabeth Chan, Anna Dixon, Carl-Ardy Dubois, Isabelle Durand-Zaleski, Daragh K Fahey, Nicholas Glasgow, Monique Hejmans, Izzat Jiwani, Martyn Jones, Cecile Knai, Nicholas Mays, Martin McKee, Ellen Nolte, Thomas E Novotny, Joceline Pomerleau, Mieke Rijken, Dhigna Rubiano, Debbie Singh, Marc Suhrcke.
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与其他关注“治愈”或“急性干预”的书籍不同,这本书完全浸润在“持续共存”的哲学氛围中。它深刻地剖析了慢性病对个体身份认同的长期侵蚀,以及如何通过赋权和目标设定来重建生活的意义。我特别喜欢其中关于“叙事疗法”的应用部分,它鼓励患者将自己的患病历程重构为一个充满力量的故事,而不是一个等待被终结的悲剧。阅读过程中,我仿佛进行了一次深刻的内在对话,反思了自己对“健康”的狭隘理解。这本书的语言充满了诗意,但绝不空洞,每一个比喻背后都站着坚实的临床观察。它教会了我如何与那些感到绝望和被遗弃的患者建立真正的连接,那种连接超越了诊断代码和治疗方案,直达心灵深处。这是一本真正关心“人”而非“疾病”的宝贵著作。
评分这本书实在是太棒了,我简直爱不释手!它不是那种枯燥的教科书,而更像是一位经验丰富、充满智慧的导师在陪伴着你。我一直很关注老年护理和慢性病管理这个领域,但市面上很多资料要么太学术化,要么过于表面。这本书却完美地找到了平衡点。它深入浅出地探讨了许多实际操作中的难题,比如如何与那些固执的患者沟通,如何处理家庭成员之间的复杂情绪,以及如何在高压力的医疗环境中保持同理心。作者在阐述理论时,总是结合生动的案例,那些场景仿佛就在我眼前重现,让我立刻就能明白那些看似抽象的护理原则在现实中是如何运作的。特别是关于姑息治疗和生命末期关怀的那几章,写得极其细腻和尊重,让我对“照护”这个词有了更深层次的理解,它不仅仅是身体上的支持,更是精神和情感上的安抚。这本书给予了我处理复杂人际关系和维护患者尊严的强大工具,读完之后,我感觉自己的专业信心得到了极大的提升,准备将书中的许多方法应用到我未来的实践中去。
评分这本书的文字功力深厚得令人惊叹,它似乎拥有一种魔力,能将最沉重的题材处理得既庄严又充满希望。我最欣赏的是作者在讨论复杂病情交织时的那种冷静和条理性。慢性病管理往往是多系统、多学科合作的结果,这本书巧妙地梳理了不同专业领域之间的信息鸿沟,并提出了整合性护理框架的设想。它不仅仅是告诉我们“该做什么”,而是深入剖析了“为什么这样最好”,强调了证据基础和循证实践的重要性。书中对技术伦理的探讨也令人印象深刻,尤其是在远程医疗和可穿戴设备日益普及的今天,如何平衡便利性与患者隐私,如何确保技术不会成为新的沟通障碍,这些前沿问题都被提炼得非常到位。对于希望从事跨学科合作或管理角色的读者来说,这本书提供了宏观的战略视角,是构建未来护理体系的绝佳蓝图。
评分我以一个长期在家照顾患有多种慢性病亲属的家庭成员的身份来评价这本书。说实话,我寻找了无数资料,但大多都聚焦于医生或专业护士,对我这种“非专业人士”帮助有限。这本书的出现简直是救星!它用非常朴素、清晰的语言解释了复杂的病理知识,让我终于明白了亲人的那些反复发作的症状背后到底发生了什么,从而能更好地与医生进行有效沟通。更重要的是,它着重强调了“自我关怀”的重要性。在长期照护的重压下,照顾者很容易把自己逼入绝境,这本书里的章节恰恰提醒我,只有照顾好自己,才能持续地、有质量地照顾他人。里面提供的一些时间管理和压力释放的小技巧,非常接地气,我试用了几个,效果立竿见影。它让我觉得,我不是一个人在战斗,我的努力和挣扎是被看到的、被尊重的。
评分坦白说,一开始我只是随便翻翻这本,没想到竟然一头扎了进去,根本停不下来。它的叙事方式非常独特,不是传统的章节划分,而是更像一系列深度访谈的集合,充满了真实的情感和人性的挣扎。我尤其欣赏作者对“慢性病患者”这个群体的重新定义——他们不再是需要被“治愈”的对象,而是需要被“理解”和“赋权”的个体。书中花了大量的篇幅去讨论社会因素对慢性病管理的影响,比如贫困、交通不便以及社会隔离,这些常常是被医学文献忽略的“灰色地带”。阅读这些内容时,我常常感到心头一震,因为这揭示了许多护理困境背后的结构性问题,而非仅仅是个人的能力不足。对于那些希望超越纯粹医疗技术、追求更全面人文关怀的护理人员来说,这本书简直是醍醐灌顶。它不提供简单的答案,而是引导读者提出更深刻的问题,去挑战和重塑我们对“照护”的固有观念。
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