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A disease-driven management triggered by acute conditions as exacerbations is still the dominating approach in the management of chronic conditions such as chronic obstructive pulmonary disease (COPD). An acute care paradigm is no longer adequate for the changing health problems in today’s world. Chronic conditions are health problems that require ongoing management over a period of years or decades. This healthcare program needs to be organized in a patient-centered approach: the patient being a partner in the healthcare process. A full cycle of chain management, based on value-based competition, understanding the complexity of the chronic conditions, and partnership in care are important components of an integrative medicine approach.
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Wouters et al. (2009) studied this question.
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