Original Articles
19 February 2025
Vol. 40 No. 1 (2018)
[Chronic patient and a circular care-related prevention-treatment-rehabilitation model]
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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The increase in the average life expectancy entails elderly and chronic patients as hospital users, often dependents and requiring recurrent hospitalizations. In this framework, an innovative model of care management is essential to ensure appropriateness and sustainability of health services. A highly specialized care-related prevention-treatmentrehabilitation approach in which pharmacological, surgical, physical and intellectual disability therapies coexist in a synergistic manner, is the answer to this new emerging need. It offers interdisciplinary care pathways facing both disease and disability recognized by severity through ICD and ICF. Measuring functional status related quality of life is a main outcome to be primarily pursued for complicated chronic patients. The implementation of "need-adapted" pathways agreed within multidisciplinary teams is the key feature of this new clinical model that can take advantage of data mining tools combining medical know-how and diagnostic information.
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Citations
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How to Cite
[Chronic patient and a circular care-related prevention-treatment-rehabilitation model]. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 40(1), 6-21. https://doi.org/10.4081/gimle.526
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