HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (8) Citing Articles via Google Scholar Google Scholar Articles by Setel, P. W. Articles by Kitange, H. Search for Related Content PubMed PubMed Citation Articles by Setel, P. W. Articles by Kitange, H. Related Collections Other Chronic Disease Global Health Health Policy Other Infections Surveillance

Philip W. Setel, PhD, Lance Saker, MD, Nigel C. Unwin, MD, Yusuf Hemed, MMed, David R. Whiting, BA and Henry Kitange, MD

At the time of writing, Philip W. Setel, Lance Saker, Nigel C. Unwin, and David R. Whiting were with the University of Newcastle upon Tyne Medical School, Department of Medicine, Newcastle upon Tyne, England. Philip W. Setel and David R. Whiting are also with the Adult Morbidity and Mortality Project, Ministry of Health, Dar es Salaam, Tanzania, as is Yusuf Hemed. Henry Kitange is with the Morogoro Regional Hospital, Morogoro, Tanzania.

Correspondence: Requests for reprints should be sent to Philip W. Setel, MEASURE Evaluation, Carolina Population Center, University of North Carolina at Chapel Hill, CB-1820, Chapel Hill, NC 27516.

The classification of disease burdens is an important topic that receives little attention or debate. One common classification scheme, the broad cause grouping, is based on etiology and health transition theory and is mainly concerned with distinguishing communicable from noncommunicable diseases. This may be of limited utility to policymakers and planners. We propose a broad care needs framework to complement the broad cause grouping. This alternative scheme may be of equal or greater value to planners. We apply these schemes to disability-adjusted life year estimates for 2000 and to mortality data from Tanzania. The results suggest that a broad care needs approach could shift the priorities of health planners and policymakers and deserves further evaluation.

This article has been cited by other articles:

				S. D Pruitt and J. E Epping-Jordan Preparing the 21st century global healthcare workforce BMJ, March 19, 2005; 330(7492): 637 - 639. [Full Text] [PDF]

				N. Unwin, J. Epping Jordan, R. Bonita, M. Ackland, B. C. Choi, and P. Puska Rethinking the terms non-communicable disease and chronic disease J Epidemiol Community Health, September 1, 2004; 58(9): 801 - 801. [Full Text] [PDF]

				J E Epping-Jordan, S D Pruitt, R Bengoa, and E H Wagner Improving the quality of health care for chronic conditions Qual. Saf. Health Care, August 1, 2004; 13(4): 299 - 305. [Abstract] [Full Text] [PDF]