Skip to main content

Chronic Illness and Care

  • Living reference work entry
  • First Online:
Encyclopedia of Global Bioethics
  • 78 Accesses

Abstract

Being chronically ill implies the management and treatment of a disease for a long time and even possibly for the rest of the affected person’s lifetime. Chronic health conditions or illnesses most commonly include diabetes, depression, chronic obstructive pulmonary disease, asthma, hypertension, and/or cardiovascular conditions. Since the ethical arguments concerning chronic illness, on the whole, center around the unfair distribution of resources, the argument will be advanced that this issue can only truly be addressed by national and/or regional policy changes and individual complementary obligations exist where patients should be encouraged to accept responsibility for their own health and not being solely dependent on a system to assist them in their functioning. This entry focuses on the following aspects: background with regard to chronic illness and the healthcare systems (internationally), ethical issues in long-term care focusing on care, and the distribution of resources, followed by an argument that individuals should take responsibility for their own healthcare.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Alonso, J. A. (2011). International migration and development: A review in light of the crisis. CDP Background Paper No. 11(E) ST/ESA/2011/CDP/11(E). http://www.un.org/en/development/desa/policy/cdp/cdp_background_papers/bp2011_11e.pdf. Accessed 24 Mar 2015.

  • Bump, J. P. (2010). The long road to universal health coverage: A century of lessons for development strategy. Seattle: PATH and the Rockefeller Foundation.

    Google Scholar 

  • Fischer, H. H., Moore, S. L., Ginosar, D., Davidson, A. J., Rice-Peterson, C. M., Durfee, M. J., MacKenzie, T. D., Estacio, R. O., & Steele, A. W. (2012). Care by cell phone: Text messaging for chronic disease management. The American Journal of Managed Care, 18(2), e42–e47.

    Google Scholar 

  • Fisher, L., & Dickinson, W. P. (2014). Psychology and primary care: New collaborations for providing effective care for adults with chronic health conditions. The American Psychologist, 69(4), 355–363. doi:10.1037/a0036101.

    Article  Google Scholar 

  • Nes, A. A. G., Eide, H., Kristjansdottir, O. B., & van Dulmen, S. (2013). Web-based, self-management enhancing interventions with e-diaries and personalized feedback for persons with chronic illness: A tale of three studies. Patient Education and Counseling, 93, 451–458.

    Article  Google Scholar 

  • National Institute on Aging. (2007). Why population aging matters – A global perspective. Bethesda: National Institute on Aging.

    Google Scholar 

  • Rawls, J. (1999). A theory of justice. Cambridge: Belknap Press of Harvard University Press.

    Google Scholar 

  • Rice, N. J., & Smith, P. C. (2001). Ethics and geographical equity in health care. Journal of Medical Ethics, 27, 256–261. doi:10.1136/jme.27.4.256.

    Article  Google Scholar 

  • Roland, M., Dusheiko, M., Gravelle, H., & Parker, S. (2005). Follow up of people aged 65 and over with a history of emergency admissions: Analysis of routine admission data. BMJ, 330(7486), 289–292.

    Article  Google Scholar 

  • Shortell, S. M., Gillies, R., Siddique, J., Casalino, L. P., Rittenhouse, D., Robinson, J. C., & McCurdy, R. K. (2009). Improving chronic illness care: A longitudinal cohort analysis of large physician organizations. Medical Care, 47(9), 932–939. doi:10.1097/MLR.0b013e31819a621a.

    Article  Google Scholar 

  • Soleimani, M., Rafii, F., & Seyedfatemi, N. (2010). Participation of patients with chronic illness in nursing care: An Iranian perspective. In A. Acton (Ed.), Issues in nursing research, training, and practice. Atlanta: Scholarly Editions.

    Google Scholar 

  • Stuckler, D., Feigl, A.B.., Basu, S., & McKee, M. (2010). The political economy of universal health coverage. Background paper for the global symposium on health systems research. UNSPECIFIED. Geneva: WHO.

    Google Scholar 

  • World Bank. (2015). Health expenditure, total (% of GDP). http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS. Accessed 21 Mar 2015

  • World Health Organization. (2002). Ethical choices in long-term care: What does justice require? Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2005). Preventing chronic diseases. A Vital Investment: WHO global report. Geneva: World Health Organization.

    Google Scholar 

Further Readings

  • Adler-Milstein, J., Sarma, N., Woskie, L. R., & Jha, A. K. (2014). A comparison of how four countries use health IT to support care for people with chronic conditions. Health Affairs, 33(9), 1559–1566. doi:10.1377/hlthaff.2014.0424.

    Article  Google Scholar 

  • Benatar, S., & Brock, G. (2011). Global health and global health ethics. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Berlan, D., Buse, K., Shiffman, J., & Tanaka, S. (2014). The bit in the middle: A synthesis of global health literature on policy formulation and adoption. Health Policy and Planning, 29, 23–34. doi:10.1093/heapol/czu060.

    Article  Google Scholar 

Download references

Acknowledgments

This entry is the work of an academic from the University of the Western Cape. However, the statements, opinions, or conclusions contained therein do not necessarily represent the statements, opinions, or conclusions of the university.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nico Nortjé .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this entry

Cite this entry

Nortjé, N. (2015). Chronic Illness and Care. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_78-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-05544-2_78-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-05544-2

  • eBook Packages: Springer Reference Religion and PhilosophyReference Module Humanities and Social SciencesReference Module Humanities

Publish with us

Policies and ethics