This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Catherine Hoffman, ScD
Dorothy Rice

Hai-Yen Sung, PhD
The Henry J. Kaiser Family Foundation Menlo Park, Calif

JAMA. 1997;277(5):376.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—As indicated by Dr Havas, significant savings can be gained through primary prevention of chronic disease. While it seemed implicit to us, the message of prevention always bears reinforcing. In addition, it is important to recognize another large source of potential savings—both in dollars and human suffering—from the prevention of secondary conditions. Secondary conditions are diseases, impairments, functional limitations, or additional disabilities that are caused by (ie, occur as a result of) another condition.¹ Crucially important to preventing these sequelae is a health care system that ensures continuity of care, access to assistive technology and resources, and health education—fundamental elements that enable individuals to manage their own health care effectively and prevent further illness and disability. It was our hope that, by measuring the total prevalence and costs of chronic conditions as a whole, the need for both primary prevention of chronic conditions and the secondary prevention of disability . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?