The vital signs of chronic disease management.

Hdl Handle:
http://hdl.handle.net/10144/75175
Title:
The vital signs of chronic disease management.
Authors:
Harries, A D; Zachariah, R; Kapur, A; Jahn, A; Enarson, D A
Journal:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Abstract:
The vital signs of pulse rate, blood pressure, temperature and respiratory rate are the 'nub' of individual patient management. At the programmatic level, vital signs could also be used to monitor the burden and treatment outcome of chronic disease. Case detection and treatment outcome constitute the vital signs of tuberculosis control within the WHO's 'DOTS' framework, and similar vital signs could be adapted and used for management of chronic diseases. The numbers of new patients started on therapy in each month or quarter (new incident cases) are sensitive indicators for programme performance and access to services. Using similar reporting cycles, treatment outcomes for all patients can be assessed, the vital signs being: alive and retained on therapy at the respective facility; died; stopped therapy; lost to follow-up; and transferred out to another facility. Retention on treatment constitutes the prevalent number of cases, the burden of disease, and this provides important strategic information for rational drug forecasting and logistic planning. If case numbers and outcomes of chronic diseases were measured reliably and consistently as part of an integrated programmatic approach, this would strengthen the ability of resource-poor countries to monitor and assess their response to these growing epidemics.
Affiliation:
International Union against Tuberculosis and Lung Disease, Paris, France. adharries@theunion.org
Issue Date:
Jun-2009
URI:
http://hdl.handle.net/10144/75175
DOI:
10.1016/j.trstmh.2008.12.008
PubMed ID:
19155031
Language:
en
ISSN:
1878-3503
Appears in Collections:
Health Politics

Full metadata record

DC FieldValue Language
dc.contributor.authorHarries, A D-
dc.contributor.authorZachariah, R-
dc.contributor.authorKapur, A-
dc.contributor.authorJahn, A-
dc.contributor.authorEnarson, D A-
dc.date.accessioned2009-07-23T10:30:58Z-
dc.date.available2009-07-23T10:30:58Z-
dc.date.issued2009-06-
dc.identifier.citationThe vital signs of chronic disease management. 2009, 103 (6):537-40 Trans. R. Soc. Trop. Med. Hyg.en
dc.identifier.issn1878-3503-
dc.identifier.pmid19155031-
dc.identifier.doi10.1016/j.trstmh.2008.12.008-
dc.identifier.urihttp://hdl.handle.net/10144/75175-
dc.description.abstractThe vital signs of pulse rate, blood pressure, temperature and respiratory rate are the 'nub' of individual patient management. At the programmatic level, vital signs could also be used to monitor the burden and treatment outcome of chronic disease. Case detection and treatment outcome constitute the vital signs of tuberculosis control within the WHO's 'DOTS' framework, and similar vital signs could be adapted and used for management of chronic diseases. The numbers of new patients started on therapy in each month or quarter (new incident cases) are sensitive indicators for programme performance and access to services. Using similar reporting cycles, treatment outcomes for all patients can be assessed, the vital signs being: alive and retained on therapy at the respective facility; died; stopped therapy; lost to follow-up; and transferred out to another facility. Retention on treatment constitutes the prevalent number of cases, the burden of disease, and this provides important strategic information for rational drug forecasting and logistic planning. If case numbers and outcomes of chronic diseases were measured reliably and consistently as part of an integrated programmatic approach, this would strengthen the ability of resource-poor countries to monitor and assess their response to these growing epidemics.en
dc.language.isoenen
dc.rightsPublished by Elsevier Archived on this site with the kind permission of Elsevier Ltd. ([url]http://www.sciencedirect.com/science/journal/00359203[/url]) and the Royal Society of Tropical Medicine and Hygiene ([url]http://www.rstmh.org/transactions.asp[/url])en
dc.titleThe vital signs of chronic disease management.en
dc.contributor.departmentInternational Union against Tuberculosis and Lung Disease, Paris, France. adharries@theunion.orgen
dc.identifier.journalTransactions of the Royal Society of Tropical Medicine and Hygieneen

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.