The role of public health in chronic diseases management

Fjolla Ahmetxhekaj, Gazmend Bojaj

Keywords: Chronic diseases, Public health ,Prevention

Introduction:

Chronic disease management is most effective when anchored in Primary Healthcare (PHC) and Family Medicine, where prevention and continuity of care intersect at the practice level. This review explores how public health frameworks strengthen primary care delivery and support physician resilience.

Method:

structured search was conducted across PubMed, Scopus, and Web of Science databases, covering the years 2010–2025. Keywords included primary healthcare, family medicine, chronic disease management, and public health interventions. Studies were selected if they reported outcomes in primary care settings, with emphasis on physician workload and patient-level results.

Results:

From 1,245 screened articles, 112 studies met inclusion criteria. Evidence shows that integrated PHC interventions—such as community-based diabetes prevention, hypertension control programs, and smoking cessation initiatives—reduce acute hospital admissions by 15–22%, improve medication adherence by up to 30%, and enhance continuity of care indicators. Importantly, several studies reported that effective community prevention correlates with reduced GP workload, lowering burnout risk by 12–18% in longitudinal surveys.

Conclusions:

Primary Healthcare and Family Medicine are pivotal in translating public health strategies into practice-level success. By reducing preventable complications and streamlining chronic disease management, these interventions not only improve patient outcomes but also sustain physician well-being. Strengthening PHC capacity is therefore both a clinical and professional imperative.

#3

EQuiP Twitter Feed
EQuiP Facebook Feed