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Published on: April 1, 2018
Attention-deficit/hyperactivity disorder in a chronic care paradigm
1Department of Family Medicine, Boston University, Boston, MA 02118, USA. laculpep@bu.edu
Primary care physicians can improve adult attention-deficit/hyperactivity disorder (ADHD) care by managing it as a chronic condition. This approach enhances patient quality of life through proactive planning and integrated healthcare teams.
Area of Science:
- Clinical Medicine
- Psychiatry
- Primary Care
Background:
- Adult attention-deficit/hyperactivity disorder (ADHD) has a significant prevalence and disease burden.
- ADHD is recognized as a chronic condition, with many children continuing to meet diagnostic criteria in adulthood.
- Current management may not fully address the chronic nature of adult ADHD.
Purpose of the Study:
- To describe a clinical approach for managing adult ADHD within a chronic care paradigm.
- To highlight the pivotal role of primary care physicians (PCPs) in coordinating adult ADHD care.
- To encourage PCPs to view adult ADHD similarly to other chronic illnesses like asthma or diabetes.
Main Methods:
- Adopting a chronic care model for adult ADHD management.
- Emphasizing proactive planning for treatment continuity across the lifespan.
- Integrating multidisciplinary healthcare teams for optimal disease management.
Main Results:
- PCPs are well-positioned to improve functioning and quality of life for adult ADHD patients.
- Viewing ADHD as a chronic illness can increase PCP engagement in its management.
- PCPs can effectively coordinate and monitor care, utilizing specialists and patient education as needed.
Conclusions:
- Integrating adult ADHD into a chronic care framework enhances patient outcomes.
- Primary care physicians are central to the coordinated, lifelong management of adult ADHD.
- A paradigm shift towards chronic disease management empowers PCPs to lead adult ADHD care.
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