Effectiveness of case management for community elderly with hypertension, diabetes mellitus, and hypercholesterolemia in Taiwan: A record review

2006 ◽  
Vol 43 (8) ◽  
pp. 1001-1010 ◽  
Author(s):  
Kuei-Yun Lu ◽  
Pi-Li Lin ◽  
Li-Chi Tzeng ◽  
Kuo-Yi Huang ◽  
Liang-Chih Chang
Keyword(s):  
Diabetes Mellitus ◽  
Case Management ◽  
Record Review

scholarly journals Das Diabetes-Ampelschema - Entwicklung eines Instruments für das hausärztliche Case Management bei Patienten mit Diabetes mellitus

Praxis ◽  
2011 ◽  
Vol 100 (24) ◽  
pp. 1457-1473 ◽  
Author(s):  
Chmiel ◽  
Birnbaum ◽  
Gensichen ◽  
Rosemann ◽  
Frei
Keyword(s):  
Diabetes Mellitus ◽  
Case Management ◽  
Chronische Erkrankungen

Um die Behandlungskontinuität- und Qualität von Diabetikern in der Hausarztpraxis zu unterstützen, empfiehlt es sich, ein strukturiertes und regelmässiges Monitoring im Praxisteam einzuführen, dessen Ziel die verlässliche, rechtzeitige und valide Erfassung von potentiellen Komplikationen einer chronischen Erkrankung ist. Idealerweise ist die medizinische Praxisassistentin federführend im Case Management. Zentrales Element des Case Managements ist ein farbcodiertes Instrument, das Diabetes Ampelschema, mit dessen Hilfe in regelmässigen Abständen die wichtigsten klinischen Parameter und Patienten-Adherence überprüft werden können. Zudem steuert das Instrument durch stratifizierte Handlungsanweisungen die Praxiskommunikation und ermöglicht eine optimale Behandlungs-Kontinuität auch in grösseren Teams. Die durch die Entwicklung des Diabetes-spezifischen Ampelschemas gewonnenen Erfahrungen können in Zukunft auch für die Entwicklung ähnlicher Instrumente für andere chronische Erkrankungen genutzt werden.

scholarly journals Medical Staff’s Opinions Regarding Factors which Influence the Case Management of Children with Insulin-dependent Diabetes Mellitus

2016 ◽  
Vol 62 (3) ◽  
pp. 321-325
Author(s):  
Lica Melania Maria ◽  
Jakab Zoltan ◽  
Crainic Maria ◽  
Mihai Adriana
Keyword(s):  
Diabetes Mellitus ◽  
Case Management ◽  
Treatment Adherence ◽  
Efficient Method ◽  
Insulin Dependent Diabetes Mellitus ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
Starting Point ◽  
Insulin Dependent ◽  
Relevant Factors

AbstractInsulin-dependent diabetes mellitus (IDDM) is a chronic disease with high incidence, especially in children, and for a better outcome the individual case management is required. The patient and his family can experience different levels of anxiety, with negative effects on disease evolution and prognosis.Objectives: identify relevant factors which influence the case management of children with IDDM. The implementation of the results of this study will help to elaborate an efficient method of intervention for improving the treatment adherence and obtaining a better outcome of IDDM in children.Methods: A semi-structured interview was done individually to 10 experts in diabetes for collecting their opinion concerning relevant factors that may influence treatment adherence and what are the characteristics of an efficient method of intervention.Results: Majority of experts considered that the main factor which influences the outcome is doctor-patient relationship. The need of child, to feel that it is understood and protected, was considered that can directly motivate a better self-management and a good outcome. The increase of importance of individual resources of children with IDDM and accent on the quality of life of those children could be considered a starting point for creating a psychological clinic intervention in this field. The results were compared with scientific literature data.Conclusions: understanding of the causes which have interfered negatively with therapeutic plan is a starting point for develop a clinical - psychological protocol for children with IDDM.

scholarly journals Risk factors for postoperative spinal infection: A retrospective analysis of 5065 cases

2019 ◽  
Vol 10 ◽  
pp. 121
Author(s):  
Matt El-Kadi ◽  
Erin Donovan ◽  
Laurel Kerr ◽  
Coby Cunningham ◽  
Victor Osio ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Infection Rate ◽  
Immunosuppressive Drugs ◽  
Smoking History ◽  
History Of ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Record Review ◽  
Subsequent Introduction ◽  
Retrospective Medical Record Review

Background: Multiple factors increase the risk for spinal surgical site infection (SSI): prior SSI, obesity, diabetes mellitus, advanced age, American Society of Anesthesiologists class, alcohol abuse, low prealbumin levels, smoking, history of cancer, chronic steroids, immunosuppressive drugs, rheumatoid arthritis, and hypothyroidism. Methods: Here, we performed a retrospective medical record review at one facility involving 5065 patients from 2010 to 2015. In 2011, there was an increase in the infection rate (1.07%) which prompted this analysis, resulting in the subsequent introduction of a protocol to reduce the infection risk. Results: The overall infection rate in this series was 0.59%. The lowest infection rate was 0.00% for anterior cervical discectomy and fusion. The highest rate of infections occurred among patients undergoing posterior cervical fusions, lumbar fusions, and tumor resections. Higher infection rates were also correlated with diabetes mellitus, obesity, and increased surgical time. Conclusions: Since 2011, we instituted a protocol to limit the risks of spinal SSIs, particularly for patients exhibiting increased medical comorbidities.

scholarly journals Effect of case management on patients with type 2 diabetes mellitus: a meta-analysis

2016 ◽  
Vol 3 (2) ◽  
pp. 71-76 ◽  
Author(s):  
Zi Zeng ◽  
Ting Shuai ◽  
Li-Juan Yi ◽  
Yan Wang ◽  
Guo-Min Song
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Case Management ◽  
Meta Analysis
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