{"id":"https://openalex.org/W4386431033","doi":"https://doi.org/10.1590/0034-7167.2023760401","title":"Chronicity in the 21st century: facing the challenges of a changing society","display_name":"Chronicity in the 21st century: facing the challenges of a changing society","publication_year":2023,"publication_date":"2023-01-01","ids":{"openalex":"https://openalex.org/W4386431033","doi":"https://doi.org/10.1590/0034-7167.2023760401","pmid":"https://pubmed.ncbi.nlm.nih.gov/37672466","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10476514"},"language":"en","primary_location":{"id":"doi:10.1590/0034-7167.2023760401","doi":"https://doi.org/10.1590/0034-7167.2023760401","is_oa":true,"landing_page_url":"https://doi.org/10.1590/0034-7167.2023760401","pdf_url":"https://www.scielo.br/j/reben/a/sqXk6NMCdCprLZCf7NLdy6D/?lang=en&format=pdf","source":{"id":"https://openalex.org/S150928353","display_name":"Revista Brasileira de Enfermagem","issn_l":"0034-7167","issn":["0034-7167","1984-0446"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310311974","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Enfermagem","host_organization_lineage":["https://openalex.org/P4310311974"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Enfermagem"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Brasileira de Enfermagem","raw_type":"journal-article"},"volume":null,"type":"editorial","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.scielo.br/j/reben/a/sqXk6NMCdCprLZCf7NLdy6D/?lang=en&format=pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057674818","display_name":"Nami\u00ea Okino Sawada","orcid":"https://orcid.org/0000-0002-1874-3481","observed_orcids":["https://orcid.org/0000-0002-1874-3481"]},"institutions":[{"id":"https://openalex.org/I23925101","display_name":"Universidade Federal de Alfenas","ror":"https://ror.org/034vpja60","country_code":"BR","type":"education","lineage":["https://openalex.org/I23925101"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Namie Okino Sawada","raw_affiliation_strings":["Universidade Federal de Alfenas,  Brasil"],"raw_orcid":"https://orcid.org/0000-0002-1874-3481","affiliations":[{"raw_affiliation_string":"Universidade Federal de Alfenas,  Brasil","institution_ids":["https://openalex.org/I23925101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085805128","display_name":"Silvana Maria Co\u00ealho Leite Fava","orcid":"https://orcid.org/0000-0003-3186-9596","observed_orcids":["https://orcid.org/0000-0003-3186-9596"]},"institutions":[{"id":"https://openalex.org/I23925101","display_name":"Universidade Federal de Alfenas","ror":"https://ror.org/034vpja60","country_code":"BR","type":"education","lineage":["https://openalex.org/I23925101"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Silvana Maria Coelho Leite Fava","raw_affiliation_strings":["Universidade Federal de Alfenas,  Brasil"],"raw_orcid":"https://orcid.org/0000-0003-3186-9596","affiliations":[{"raw_affiliation_string":"Universidade Federal de Alfenas,  Brasil","institution_ids":["https://openalex.org/I23925101"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031745490","display_name":"Bianca de Moura Peloso-Carvalho","orcid":"https://orcid.org/0000-0001-5336-2249","observed_orcids":["https://orcid.org/0000-0001-5336-2249"]},"institutions":[{"id":"https://openalex.org/I23925101","display_name":"Universidade Federal de Alfenas","ror":"https://ror.org/034vpja60","country_code":"BR","type":"education","lineage":["https://openalex.org/I23925101"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Bianca de Moura Peloso-Carvalho","raw_affiliation_strings":["Universidade Federal de Alfenas,  Brasil"],"raw_orcid":"https://orcid.org/0000-0001-5336-2249","affiliations":[{"raw_affiliation_string":"Universidade Federal de Alfenas,  Brasil","institution_ids":["https://openalex.org/I23925101"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I23925101"],"apc_list":{"value":1300,"currency":"BRL","value_usd":247},"apc_paid":{"value":1300,"currency":"BRL","value_usd":247},"fwci":null,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"76","issue":"4","first_page":"e760401","last_page":"e760401"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.7002000212669373,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.7002000212669373,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.27000001072883606,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14093","display_name":"Global Health and Epidemiology","score":0.008200000040233135,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.8610000014305115},{"id":"https://openalex.org/keywords/non-communicable-diseases","display_name":"non-communicable diseases","score":0.9279999732971191},{"id":"https://openalex.org/keywords/population-aging","display_name":"population aging","score":0.8330000042915344},{"id":"https://openalex.org/keywords/lifestyle-modification","display_name":"lifestyle modification","score":0.8119999766349792},{"id":"https://openalex.org/keywords/health-services-administration","display_name":"health services administration","score":0.3230000138282776},{"id":"https://openalex.org/keywords/family-health-strategy","display_name":"Family Health Strategy","score":0.7850000262260437},{"id":"https://openalex.org/keywords/public-health-policy","display_name":"public health policy","score":0.640999972820282},{"id":"https://openalex.org/keywords/chronic-disease-prevention","display_name":"chronic disease prevention","score":0.640999972820282},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.6990000009536743},{"id":"https://openalex.org/keywords/economic-burden-of-disease","display_name":"economic burden of disease","score":0.5740000009536743},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.609000027179718},{"id":"https://openalex.org/keywords/globalization-and-urbanization","display_name":"globalization and urbanization","score":0.5820000171661377},{"id":"https://openalex.org/keywords/health-system-sustainability","display_name":"health system sustainability","score":0.3160000145435333},{"id":"https://openalex.org/keywords/health-promotion-and-education","display_name":"health promotion and education","score":0.3190000057220459}],"concepts":[{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.48041558265686035},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4189158082008362},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.10818463563919067}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1590/0034-7167.2023760401","doi":"https://doi.org/10.1590/0034-7167.2023760401","is_oa":true,"landing_page_url":"https://doi.org/10.1590/0034-7167.2023760401","pdf_url":"https://www.scielo.br/j/reben/a/sqXk6NMCdCprLZCf7NLdy6D/?lang=en&format=pdf","source":{"id":"https://openalex.org/S150928353","display_name":"Revista Brasileira de Enfermagem","issn_l":"0034-7167","issn":["0034-7167","1984-0446"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310311974","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Enfermagem","host_organization_lineage":["https://openalex.org/P4310311974"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Enfermagem"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Brasileira de Enfermagem","raw_type":"journal-article"},{"id":"doi:10.1590/0034-7167.2023760401es","doi":"https://doi.org/10.1590/0034-7167.2023760401es","is_oa":true,"landing_page_url":"https://doi.org/10.1590/0034-7167.2023760401es","pdf_url":"https://www.scielo.br/j/reben/a/sqXk6NMCdCprLZCf7NLdy6D/?lang=es&format=pdf","source":{"id":"https://openalex.org/S150928353","display_name":"Revista Brasileira de Enfermagem","issn_l":"0034-7167","issn":["0034-7167","1984-0446"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310311974","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Enfermagem","host_organization_lineage":["https://openalex.org/P4310311974"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Enfermagem"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Brasileira de Enfermagem","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10476514","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10476514","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10476514/pdf/0034-7167-reben-76-04-e760401.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rev Bras Enferm","raw_type":"Text"},{"id":"pmid:37672466","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37672466","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista brasileira de enfermagem","raw_type":"Editorial"},{"id":"pmh:oai:doaj.org/article:2aa529e2989642d782111df5bb32914f","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2aa529e2989642d782111df5bb32914f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Revista Brasileira de Enfermagem, Vol 76, Iss 4 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1590/0034-7167.2023760401","doi":"https://doi.org/10.1590/0034-7167.2023760401","is_oa":true,"landing_page_url":"https://doi.org/10.1590/0034-7167.2023760401","pdf_url":"https://www.scielo.br/j/reben/a/sqXk6NMCdCprLZCf7NLdy6D/?lang=en&format=pdf","source":{"id":"https://openalex.org/S150928353","display_name":"Revista Brasileira de Enfermagem","issn_l":"0034-7167","issn":["0034-7167","1984-0446"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310311974","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Enfermagem","host_organization_lineage":["https://openalex.org/P4310311974"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Enfermagem"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Brasileira de Enfermagem","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4386431033.pdf","grobid_xml":"https://content.openalex.org/works/W4386431033.grobid-xml"},"referenced_works_count":2,"referenced_works":["https://openalex.org/W3203891055","https://openalex.org/W4214774064"],"related_works":["https://openalex.org/W4386431065","https://openalex.org/W4386431247","https://openalex.org/W4232581044","https://openalex.org/W1895166369","https://openalex.org/W4309026870","https://openalex.org/W1787888015","https://openalex.org/W4405530260","https://openalex.org/W2065744770","https://openalex.org/W2789606742","https://openalex.org/W4413684113"],"abstract_inverted_index":{"de":[0,5,13,22,29,33,54,58,69,76,99,101,110,123,132,139,158,188,190,205,230,243,251,269,279,285,295,306,313,317,343,348,350,352,397,407,432,445,454,463,466,473],"Actualmente,":[1],"existe":[2],"un":[3,70,93,153,264,391,423,460,474,481],"aumento":[4,28,71,154,265,342],"las":[6,102,118,216,231,283,326],"enfermedades":[7,79,83,86,91,270,314],"no":[8,178,409],"transmisibles":[9],"(ENT),":[10],"el":[11,20,27,48,74,108,130,181,228,241,260,304,331,333,336,373,395,443,452],"envejecimiento":[12,242,261],"la":[14,30,39,45,52,97,137,142,149,156,186,191,198,203,225,238,244,256,267,311,318,356,368,378,387,413,433,439,464,467,478,485,491],"poblaci\u00f3n":[15,319],"y":[16,51,61,112,120,167,202,227,248,294,299,335,355,366,383,412,426,438,449,488],"los":[17,34,63,121,286,346,359,371,401,405],"cambios":[18,302],"en":[19,47,73,96,107,129,136,148,155,197,266,303,310,329,370,386,451,477,484,490],"estilo":[21,305],"vida,":[23],"lo":[24,211,272],"que":[25,37,125,235,273,308,338,372,400,428],"corrobora":[26],"cronicidad,":[31,369],"uno":[32],"mayores":[35],"desaf\u00edos":[36],"enfrenta":[38],"sociedad":[40,440],"contempor\u00e1nea.En":[41],"este":[42,56],"editorial":[43],"examinaremos":[44],"cronicidad":[46,239,389],"siglo":[49],"XXI":[50],"necesidad":[53],"abordar":[55],"problema":[57],"manera":[59],"integral":[60,293],"sostenible.En":[62],"\u00faltimos":[64],"a\u00f1os":[65],"hemos":[66],"sido":[67],"testigos":[68],"significativo":[72],"n\u00famero":[75],"personas":[77],"con":[78,172,180,442],"cr\u00f3nicas":[80],"como":[81,325],"diabetes,":[82,161],"cardiovasculares,":[84],"c\u00e1ncer,":[85,160],"respiratorias":[87],"cr\u00f3nicas,":[88,271],"entre":[89],"otras.Estas":[90],"tienen":[92],"profundo":[94],"impacto":[95],"calidad":[98],"vida":[100,111,252,307,353],"personas,":[103],"pues":[104],"imponen":[105],"adaptaciones":[106],"modo":[109],"una":[113,175,195,275,290],"importante":[114,234],"carga":[115],"econ\u00f3mica":[116],"para":[117,219,224,281,364,394,458],"familias":[119],"sistemas":[122],"salud,":[124,398,434],"necesitan":[126],"ser":[127],"comprendidas":[128],"proceso":[131],"gesti\u00f3n":[133],"del":[134,277],"cuidado":[135],"Red":[138],"Atenci\u00f3n":[140],"a":[141,237,255,263,430,480],"Salud.Un":[143],"estudio":[144],"brasile\u00f1o":[145],"mostr\u00f3":[146],"que,":[147],"\u00faltima":[150],"d\u00e9cada,":[151],"hubo":[152,194],"prevalencia":[157,268],"depresi\u00f3n,":[159],"trastornos":[162,168],"neuropsiqui\u00e1tricos,":[163],"problemas":[164],"pulmonares":[165],"cr\u00f3nicos":[166],"musculoesquel\u00e9ticos.Los":[169],"brasile\u00f1os":[170],"afectados":[171],"al":[173,341],"menos":[174],"enfermedad":[176,479],"cr\u00f3nica":[177],"ENT,":[179],"tiempo,":[182],"fueron":[183],"cubiertos":[184],"por":[185],"Estrategia":[187],"Salud":[189],"Familia,":[192],"pero":[193],"reducci\u00f3n":[196],"atenci\u00f3n":[199,291,414,465,486],"m\u00e9dica":[200],"oportuna":[201],"obtenci\u00f3n":[204],"medicamentos":[206],"recetados":[207],"gratuitos":[208],"(1)":[209],".Por":[210],"tanto,":[212],"es":[213,240,470],"crucial":[214],"comprender":[215],"causas":[217],"subyacentes":[218],"apoyar":[220],"pol\u00edticas":[221],"p\u00fablicas":[222],"efectivas":[223],"prevenci\u00f3n":[226,379],"control":[229],"ENT.Otro":[232],"factor":[233],"contribuye":[236],"poblaci\u00f3n.Los":[245],"avances":[246],"tecnol\u00f3gicos":[247],"mejores":[249],"condiciones":[250],"han":[253,339],"llevado":[254],"longevidad;":[257],"sin":[258],"embargo,":[259],"conduce":[262],"requiere":[274],"adecuaci\u00f3n":[276],"sistema":[278,374,396],"salud":[280,408,468],"atender":[282],"demandas":[284],"adultos":[287],"mayores,":[288],"brindando":[289],"adecuada,":[292],"calidad.El":[296],"mundo":[297],"globalizado":[298],"urbanizado":[300],"trajo":[301],"impactaron":[309],"aparici\u00f3n":[312],"cr\u00f3nicas.La":[315],"mayor\u00eda":[316],"ha":[320],"adoptado":[321],"h\u00e1bitos":[322],"poco":[323],"saludables,":[324],"dietas":[327],"ricas":[328],"grasas,":[330],"sedentarismo,":[332],"alcoholismo":[334],"tabaquismo,":[337],"contribuido":[340],"estas":[344],"enfermedades.As\u00ed,":[345],"programas":[347],"promoci\u00f3n":[349],"estilos":[351],"saludables":[354],"concienciaci\u00f3n":[357],"sobre":[358],"riesgos":[360],"asociados":[361],"son":[362,403],"fundamentales":[363],"prevenir":[365],"controlar":[367],"sanitario":[375],"debe":[376],"promover":[377],"primaria,":[380],"secundaria,":[381],"terciaria":[382],"cuaternaria":[384],"basada":[385],"evidencia.La":[388],"constituye":[390],"gran":[392],"desaf\u00edo":[393],"ya":[399],"recursos":[402],"limitados,":[404],"servicios":[406],"est\u00e1n":[410],"integrados":[411],"suele":[415],"estar":[416],"fragmentada.Para":[417],"superar":[418],"estos":[419],"desaf\u00edos,":[420],"se":[421],"necesita":[422],"enfoque":[424],"interprofesional":[425],"colaborativo,":[427],"involucre":[429],"profesionales":[431],"gobiernos,":[435],"instituciones":[436],"acad\u00e9micas":[437],"civil,":[441],"objetivo":[444],"desarrollar":[446],"enfoques":[447],"innovadores":[448],"sostenibles":[450],"manejo":[453],"esta":[455],"situaci\u00f3n.Ante":[456],"ello,":[457],"lograr":[459],"abordaje":[461],"integrado":[462],"cr\u00f3nica,":[469],"necesario":[471],"transitar":[472],"modelo":[475,482],"centrado":[476,483],"integrada":[487],"centrada":[489],"persona":[492],"(2)":[493],",":[494],"siendo":[495]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":2}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2023-09-05T00:00:00"}
