Archives of General Internal Medicine

Reach Us +1 (202) 780-3397

Perspective - Archives of General Internal Medicine (2023) Volume 7, Issue 6

A commentary article on managing chronic diseases.

Allien Jeniffer *

Department of General Medicine, Jena University Hospital, Germany

*Corresponding Author:
Allien Jeniffer
Department of General Medicine, Jena University Hospital, Germany

Received: 25-Nov-2023, Manuscript No. AAAGIM-23-122739; Editor assigned: 27-Nov-2023, PreQC No. AAAGIM-23-122739(PQ); Reviewed: 11-Dec-2023, QC No. AAAGIM-23-122739; Revised: 16-Dec-2023, Manuscript No. AAAGIM-23-122739(R); Published: 23-Dec-2023, DOI:10.35841/aaagim-7.6.208

Citation: : Jeniffer A. A commentary article on managing chronic diseases. Arch Gen Intern Med.2023;7(6):208

Visit for more related articles at Archives of General Internal Medicine




Chronic diseases, characterized by their prolonged duration and often slow progression, have emerged as significant public health challenges worldwide. These conditions, such as diabetes, cardiovascular diseases, and chronic respiratory disorders, contribute substantially to the global burden of morbidity and mortality. This article aims to provide a comprehensive overview of chronic diseases, exploring their prevalence, risk factors, impact on individuals and healthcare systems, and strategies for effective management [1,2].

Chronic diseases encompass a diverse group of conditions that persist over an extended period, typically lasting for three months or more. Unlike acute illnesses, chronic diseases often progress slowly, impacting an individual's quality of life and requiring long-term management. Common examples include heart disease, diabetes, chronic respiratory diseases (e.g., asthma, chronic obstructive pulmonary disease), and certain types of cancer.The prevalence of chronic diseases has reached epidemic proportions globally. According to the World Health Organization (WHO), chronic diseases account for approximately 71% of all deaths worldwide. This rising prevalence is attributed to various factors, including an aging population, unhealthy lifestyle choices, and socio-economic disparities [3,4].

In both developed and developing countries, chronic diseases impose a substantial economic burden on healthcare systems. The direct costs associated with medical care, coupled with indirect costs related to lost productivity, place immense strain on national economies. Moreover, the impact of chronic diseases extends beyond the individual, affecting families, communities, and societies at large.Understanding the risk factors and determinants of chronic diseases is crucial for effective prevention and management. While genetic predisposition plays a role, modifiable risk factors are significant contributors. Unhealthy behaviors such as tobacco use, poor dietary habits, physical inactivity, and excessive alcohol consumption are common lifestyle factors associated with the development of chronic conditions [5,6].

Socio-economic determinants, including access to education, income, and healthcare, also play a pivotal role in shaping the prevalence of chronic diseases. Disparities in these determinants contribute to health inequities, with certain populations experiencing a higher burden of chronic conditions. Chronic diseases exert a profound impact on the lives of affected individuals. The constant management of symptoms, regular medical appointments, and potential complications can lead to physical and emotional challenges. Quality of life may be compromised, affecting daily activities, relationships, and overall well-being.Furthermore, individuals with chronic conditions often face stigma and misconceptions, adding a psychosocial dimension to their health challenges. Mental health issues, such as depression and anxiety, are prevalent among those managing chronic diseases, highlighting the need for holistic and patient-centered approaches to care [7,8].

Effective chronic disease management requires a multi-faceted approach that addresses prevention, early detection, and ongoing care. Here are key strategies for managing chronic diseases. Promoting healthy lifestyle choices through public health campaigns. Implementing policies to reduce tobacco use, improve nutrition, and encourage physical activity. Establishing routine screening programs for conditions such as hypertension, diabetes, and certain cancers. Enhancing awareness of risk factors and encouraging regular health check-ups.Providing individuals with information about their condition, treatment options, and self-management strategies. Encouraging shared decision-making between healthcare providers and patients. Implementing integrated care approaches that involve collaboration among healthcare professionals from different disciplines. Ensuring continuity of care during transitions between healthcare settings.Leveraging technology for remote monitoring and management of chronic conditions. Facilitating telehealth services to improve access to healthcare, especially for individuals in remote or underserved areas. Establishing support networks and community resources for individuals with chronic diseases. Integrating mental health services into chronic disease management programs to address psychological well-being [9,10].


Chronic diseases represent a global health challenge with far-reaching implications. Addressing the rising prevalence of these conditions requires a comprehensive and integrated approach that encompasses prevention, early detection, and patient-centered management. By understanding the social determinants, risk factors, and impact on individuals, healthcare systems can develop effective strategies to alleviate the burden of chronic diseases and improve the overall health and well-being of populations worldwide.


  1. Rampal L. A national study on the prevalence of obesity among 16,127 Malaysians. Asia Pac J Clin Nutrition. 2007;16(3).

Indexed at, Google Scholar

  1. Safran DG. Defining the future of primary care: what can we learn from patients? Ann Intern Med. 2003;138(3):248-55.

Indexed at, Google Scholar, Cross Ref

  1. Wolff JL. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162(20):2269-76.

Indexed at, Google Scholar, Cross Ref

  1. Rothman AA. Chronic illness management: What is the role of primary care? Ann Intern Med. 2003;138(3):256-61.

Indexed at, Google Scholar, Cross Ref

  1. Merican MI. Developing the Malaysian health system to meet the challenges of the future. Med J Malaysia. 2004;59(1):84-93.

Indexed at, Google Scholar

  1. Wong JS. The state of lipid control in patients with diabetes in a public health care centre. Asia Pac J Public Health. 2007;19(3):16-21.

Indexed at, Google Scholar, Cross Ref

  1. Epping-Jordan JE. Improving the quality of health care for chronic conditions. Qual Saf Health Care. 2004;13(4):299-305.

Indexed at, Google Scholar, Cross Ref

  1. Sommers LS. Physician, nurse, and social worker collaboration in primary care for chronically ill seniors. Arch Intern Med. 2000;160(12):1825-33.

Indexed at, Google Scholar, Cross Ref

  1. Kananatu K. Healthcare financing in Malaysia. Asia Pac J Public Health. 2002;14(1):23-8.

Indexed at, Google Scholar, Cross Ref

  1. Gulliford MC. Achievement of metabolic targets for diabetes by English primary care practices under a new system of incentives. Diabet Med. 2007;24(5):505-11.

Indexed at, Google Scholar, Cross Ref

Get the App