International Handbook on Ageing and Public Policy
Show Less

International Handbook on Ageing and Public Policy

Sarah Harper, Kate Hamblin, Jaco Hoffman, Kenneth Howse and George Leeson

The International Handbook on Ageing and Public Policy explores the challenges arising from the ageing of populations across the globe for government, policy makers, the private sector and civil society. It examines various national state approaches to welfare provisions for older people, and highlights alternatives based around the voluntary and third-party sector, families and private initiatives. The Handbook is highly relevant for academics interested in this critical issue, and offers important messages for policy makers and practitioners.
Buy Book in Print
Show Summary Details
You do not have access to this content

Chapter 15: Developing appropriate and effective care for people with chronic disease

Bert Vrijhoef and Arianne Elissen


Chronic diseases are disorders of long duration and generally slow progression (Council of the European Union, 2010). Most notably, they include four major non-communicable diseases listed by the World Health Organization: cardiovascular diseases, cancer, chronic respiratory diseases and diabetes mellitus (WHO, 2008). In 2006, 20 to 40 per cent of persons in the age category of 15 years and older residing in the EU reported having one or more long-term illness (TNS Opinion & Social, 2007). In the USA, estimates are that one out of every two adults suffers from chronic disease (Wu and Green, 2000). Also, in developing countries, death and disability from chronic diseases now exceeds that from communicable diseases due to the rising average age and changing epidemiologic profile of the population (Nugent, 2008). Chronic disease have a common set of clinical risk factors – hypercholesterolemia, hypertension and obesity – and their associated behavioural risk factors – tobacco, physical inactivity and unhealthy diets (Stuckler, 2008). In coming years, there will be a growing number of persons with multiple health problems, a phenomenon most common among the elderly (Nolte et al., 2008). Chronic conditions cause great disability during life: diabetes mellitus, for instance, is a leading cause of blindness, end-stage renal failure, non-traumatic limb amputations and cardiovascular morbidity (Dagogo-Jack, 2002).

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.

Further information

or login to access all content.