The early healthcare system responded to widespread acute, infectious diseases; but today the challenge is non-communicable diseases—many of which are multiple long-term conditions. How can patients and their families in partnership with providers manage their conditions so as to avert unnecessary hospital stays? The expressed needs of patients and families demonstrate the need for increased community support services and better communication through information technology, amongst other solutions.
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References
1.
GawandeA. Two hundred years of surgery. N Engl J Med2012; 366: 1716–1723.
2.
GuthrieD. Lord Lister: His Life and Doctrine. Edinburgh, Scotland: E. & S. Livingstone Ltd; 1949: 99.
3.
WallerJ. Discovery of the Germ. London, England: Icon Books; 2004:2004.
4.
Vaccine timeline: Historic dates and events related to vaccines and immunization. Immunization action coalition website. 〈http://www.immunize.org/timeline/〉 Accessed 06.01.14.
5.
HornsbyJSchmidtR. The Modern Hospital. Philadelphia, Pennsylvania: W.B. Saunders Company; 1913: 298.
6.
WeiszG. The emergence of medical specialization in the nineteenth century. Bull Hist Med2003; 77(3): 536–574.
Population patterns of chronic health conditions in Canada: A data supplement to why health care renewal matters: Learning from Canadians with chronic health conditions. Health Council of Canada website. 〈http://healthcouncilcanada.ca/rpt_det.php?id=145〉 Published December 2007. Accessed 13.01.14.
11.
Epping-JordanJBengoaRYachD. Chronic conditions—the new health challenge. S Afr Med J2003; 93(8): 585–589.
Canadian Institute for Health Information. Drug Expenditure in Canada, 1985 to 2012. Ottawa, ON: CIHI; 2013: 82.
16.
Ministry of Health and Long Term Care. Section 3.05: Hospital emergency departments. In: 2010 Annual report of the Office of the Auditor General of Ontario; 2010: 132.
17.
BatesJLovatoCBuller-TaylorT. Mind the gap: Seven key issues in aligning medical education and healthcare policy. Healthc Policy2008; 4(2): 46–58.
Health Council of Canada. Turning what we know into action: A commentary on the National Symposium on patient engagement. Available at 〈http://www.healthcouncilcanada.ca/rpt_det.php?id=321〉; 2012 Accessed 10.02.14.
