title: Enhancing chronic disease management: a review of key issues and strategies.
abstract: This paper highlights three selected issues and potential strategies towards meeting chronic disease management needs. First, the orientation of the biomedical science model often gives insufficient attention to chronic health care needs. A second issue is that the use of complementary and alternative medicine (CAM) may offer for some an opportunity to enhance their chronic disease management efforts. A third issue is that our understanding of this potential is limited, as many who use CAM do not disclose such use. With reference to proposed solutions/strategies, first, an improved focus to respect patient/client values and goals may encourage people to disclose their use of CAM. Second, a community-based participatory approach shows promise in enhancing communication plus helps integrate CAM within new models of chronic disease management. Lastly, those in public health could help facilitate such an approach plus be a monitor of CAM practices. Overall, this review provides a springboard for further research and practice in CAM and the management of chronic diseases.
authors.affiliation: Department of Public Health Sciences, Faculty of Medicine, University of Toronto, Toronto, Ont., Canada. kevinwillison2003@yahoo.ca
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Willison
authors.forename: Paul
authors.initials: P
authors.lastname: Williams
authors.forename: Gavin J
authors.initials: GJ
authors.lastname: Andrews
mesh_terms: D002908:Chronic Disease; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D030881:Disclosure; D019468:Disease Management; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D005791:Patient Care / Q000379:methods; D010358:Patient Participation / Q000706:statistics & numerical data; D011634:Public Health