Person-centered healthcare: addressing chronic illness and promoting future health

Main Article Content

Andrew Miles
Juan E. Mezzich

Abstract

Long term conditions (LTCs) now represent, collectively, one of the greatest challenges to modern medicine and healthcare.  Indeed, the World Health Organisation (WHO) Global Status Report on Non-communicable Diseases is clear that the NCD epidemic continues to exact an enormous toll in terms of human suffering and is inflicting serious damage on human development in both social and economic terms [1]. In 2008, of the 57 million deaths occurring globally, 63% were due to NCDs, principally cardiovascular and chronic respiratory diseases, diabetes and the cancers. It is, however, some 3.5 years since the conclusion of the year of sampling employed by the report and a variety of epidemiological predictions of disease burden indicate that continuing increases in the incidence and prevalence of these illnesses are likely to have occurred since the finalization of the 2008 analysis. Thus, there is every objective indication that this global crisis of health and wellbeing is worsening and not abating, making even more urgent the conclusion of the report that: ‘This state of affairs cannot continue. There is a pressing need to intervene. Unless serious action is taken, the burden of NCDs will reach levels that are beyond the capacity of all stakeholders to manage’

Article Details

Section
Editorial
Author Biographies

Andrew Miles, WHO Centre for Public Health Education and Training, Imperial College, London

Editor-in-Chief, International Journal of Person Centered Medicine & Journal of Evaluation in Clinical Practice; Director:  International Conference and Publication Series on Person Centered Healthcare; WHO Centre for Public Health Education and Training, Faculty of Medicine, Imperial College London UK & Visiting Professor:  University of Milan Italy & Medical University of Plovdiv and University of Sofia, Bulgaria; Distinguished Academician, National Academy of Sciences and  Arts of Bulgaria. Professor Miles, MSc, MPhil, PhD is a senior public health scientist. He previously held professorships and senior fellowships at King’s College University of London, Queen Mary College University of London, the University of East London, the University of Westminster, the University of Surrey and the University of Wales.He is Editor-in-Chief and Chairman of the International Advisory Board of the Journal of Evaluation in Clinical Practice, a leading and highly ranked international periodical for public health policy and health services research published by Wiley Blackwell Ltd with high impact factor and citation rate and extensive world circulation.Professor Miles is National Director and Editor-in-Chief of the UK Key Advances in Clinical Practice Series, a major collaboration between medical Royal Colleges and UK specialist clinical societies in a multi-disciplinary contribution to the evaluation and development of clinical practice in the UK, resulting in the organisation of some 22 annually recurring national conferences and some 22 annually updated, extensively referenced clinical texts which serve to document current scientific evidence and expert clinical opinion for the investigation and management of common diseases, the results of which are widely disseminated across the medical community of the UK. The Series entered its 13th successful annual cycle in January 2010.He is Director and Editor-in-Chief of the UK Masterclasses in Effective Clinical Practice Series in collaboration with the medical Royal Colleges and specialist clinical societies which examines how ‘general research evidence’ derived from the clinical literature is successfully applied to the care of difficult individual patients as part of the development of UK knowledge-based clinical practice.Professor Miles is an accomplished teacher at both undergraduate and postgraduate levels in public health and social medicine, and experienced in Master’s level course development and validation, and in university committee work and higher degree supervision at Master’s degree and PhD levels.He has published extensively in his field: over 50 edited textbooks in public health sciences and health services research, together with substantial numbers of original articles in leading peer-reviewed international clinical journals. He has contributed extensively to the international evidence-based medicine debate and to the development of thinking on the nature of knowledge for clinical practice. He has provided the intellectual leadership and organisational skills for 89 national clinical conferences and 26 national clinical masterclasses from 1998 to date. He regularly lectures at national and international conferences, and has made a substantial contribution to British medical education and clinical scholarship.

Juan E. Mezzich, Mount Sinai Medical School

Deputy Editor-in-Chief, International Journal of Person Centered Medicine & Professor of Psychiatry, Mount Sinai Medical School, New York University, United States of America and President, International College of Person Centered Medicine & Past President, World Psychiatric Association

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