203493 Management of chronic conditions: Experience and lessons from the English National Health Service

Tuesday, November 10, 2009: 2:35 PM

Dennis Kodner, PhD , NYIT Center for Gerontology & Geriatrics, New York College of Osteopathic Medicine of New York Institute of Technology (NYIT), Old Westbury, NY
Chronic illness is the principal modifier of health status and quality of life internationally. These long-term and irreversible conditions affect people of all ages, but especially the elderly population. Given the growing number of people with chronic conditions, the complex clinical and service delivery challenges involved, and the enormous costs of care, health systems around the world are searching for better approaches to chronic illness management. The English National Health Service (NHS) has made chronic care a major priority, and the initiatives implemented are many and varied. Despite major system differnces between our two countries, the English experience still offers the U.S. some valuable lessons. This paper will first examine the challenges of chronic illness and the need for broad strategies to manage the care, outcomes and costs of these difficult conditions. This will be followed by a description of the range of chronic disease management approaches undertaken by the English NHS, including a review of key experiences, challenges, lessons and contributing factors--both pro and con. The paper will conclude with a discussion of the implications for the U.S.

Learning Objectives:
1. Identify the characteristics of chronic illness, and the various challenges posed for clinical care, service delivery, and system costs; 2. Describe the various chronic care initiatives undertaken by the English National Health Service (NHS), as well as the key experiences, challenges, lessons, and contributing factors; and, 3. Discuss the meaning and implications of the English approach and strategies used for the American acute and long-term care systems

Keywords: Chronic Illness, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have organized, coordinated, moderated, and presented at past conferences on related subjects.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.