title: Care for noncommunicable diseases (NCDs): time for a paradigm-shift.
abstract: Noncommunicable diseases (NCDs) are on the rise and multi-morbidity becomes more and more the rule, no longer the exception. For these patients, disease-management programs are having difficulty in realizing comprehensive care. Therefore, a paradigm-shift from "problem-oriented" toward "goal-oriented" care is needed, reorienting the care toward the goals formulated by the patient. By doing so, we will avoid care that may lead to "inequity by disease".
authors.affiliation: Department of Family Medicine and Primary Health Care, Ghent University, Belgium.
authors.forename: Jan
authors.initials: J
authors.lastname: De Maeseneer
authors.forename: Pauline
authors.initials: P
authors.lastname: Boeckxstaens
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D015897:Comorbidity; D019317:Evidence-Based Medicine; D006040:Goals; D006801:Humans; D005791:Patient Care; D017060:Patient Satisfaction