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Chronic Disease Management

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Stepped Care and e-Health

Abstract

Chronic diseases such as heart disease, cancer, stroke, chronic lower respiratory diseases, diabetes, Alzheimer’s disease, and kidney disease account for seven of the top ten causes of death and account for billions of dollars of health-care expenditures annually in the United States (Center for Disease Control, 2005; Weingarten et al., 2002). In 2007, 11% of the US population suffered from the number one killer in the United States diagnosed heart disease (National Center for Health Statistics, 2008; 2009). The cost of medical management of heart disease alone is staggering, in 2006 it accounted for 43% of all Medicare expenditures and 1–2% of total US health care (Foote, 2003; Stewart, 2005; Thorn et al., 2006). The management of chronic disease (CD) strains the psychological well-being of chronically diseased individuals and their families (Levy et al., 2007; de Ridder et al., 2008), particularly with problems such as heart disease where psychological factors such as stress, social isolation, anxiety, depression, and type A behavior have a role in disease progression, and management of the disease requires stressful caregiving and case management skills from unprepared family members (Hemingway and Marmot, 1999; Rozanski et al., 1999).

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Authors and Affiliations

  1. Department of Psychology, University of Nevada-Reno, Mail Stop 0298, Reno, NV, 89557, USA

    Victoria Mercer

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  1. Victoria Mercer
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Correspondence to Victoria Mercer .

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  1. Dept. Psychology, University of Nevada, Reno, Reno, 89557-0062, Nevada, USA

    Crissa Draper

  2. Dept. Psychology, University of Nevada, Reno, Reno, 89557-0062, Nevada, USA

    William T. O'Donohue

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Mercer, V. (2011). Chronic Disease Management. In: Draper, C., O'Donohue, W. (eds) Stepped Care and e-Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6510-3_9

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