Chronic disease management in developed and developing countries: a cardiovascular case study

2014 ◽  
Vol 10 (5) ◽  
pp. e11
Author(s):  
H.P. Puspitasari ◽  
P. Aslani ◽  
I. Krass
Keyword(s):  
Developing Countries ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management

Understanding the Advantages of Mobile Solutions for Chronic Disease Management

2012 ◽  
Vol 4 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Arthur Tatnall ◽  
Steve Goldberg
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Self Care ◽  
Actor Network Theory ◽  
Health Issues ◽  
Pervasive Technology ◽  
The Rich ◽  
Technology Solution

In an environment of escalating healthcare costs, chronic disease management is particularly challenging, since, by definition such diseases have no foreseeable cure and if poorly managed typically lead to further, complicated secondary health issues, which ultimately only serve to exacerbate cost. Diabetes is one of the leading chronic diseases and its prevalence continues to rise exponentially. Thus it behooves all to focus on solutions that can result in superior management of this disease. Hence, this article presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution; a mobile phone, to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT) and thus the paper underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.

scholarly journals Benefits of Diabetes Support Group in Chronic Disease Management Program (Prolanis) in Puskesmas Jetis II, Bantul District: a Case Study

2019 ◽  
Vol 2 (1) ◽  
pp. 8
Author(s):  
Yulia Dewi Irawati ◽  
Adi Heru Sutomo ◽  
Mora Claramita
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Health Center ◽  
Support Group ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Entire Body ◽  
Support Information

Background: Type 2 diabetes mellitus is a chronic disease and has the potential for complications that affect the entire body so that it requires a comprehensive approach. This means that the management of DMT2 must involve various parties, both medical, paramedic, patient, family and community. One strategy for managing DMT2 is Prolanis (Chronic Disease Management Program) which is a diabetes support group at Jetis II Health Center. To find out the success of Prolanis implementation, an evaluation of the benefits of the diabetes support group is needed.Objective: To find out the benefits obtained from participating in the diabetes support group in Prolanis at the Jetis II Bantul Health Center.Method: A qualitative descriptive study with a case study approach. Data were obtained from patients with DMT2 members of Prolanis (Chronic Disease Management Program) and officers of the Jetis II health center in Bantul Regency. Retrieval of data in patients with focus group discussions on 30 resource persons divided into 3 groups. Other data is by conducting independent interviews with 6 informants of the puskesmas staff involved in the diabetes support group activities of Prolanis.Results: The benefits obtained from the diabetes support group are grouped into 3 categories namely biopsychosocial support, information, and individual empowerment. Most patients benefit from obtaining biopsychosocial support from the Prolanis group. Benefits for DMT2 patients Prolanis members get information in the second place and the last is individual empowerment at least the benefits are felt.Conclusion: The benefits of a diabetes support group for DMT2 patients in Prolanis members are to get biopsychosocial support, information, and individual empowerment.

Diabetes as a case study of chronic disease management with a personalized approach: The role of a structured feedback loop

2012 ◽  
Vol 98 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Antonio Ceriello ◽  
László Barkai ◽  
Jens Sandahl Christiansen ◽  
Leszek Czupryniak ◽  
Ramon Gomis ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Feedback Loop ◽  
Chronic Disease Management ◽  
Personalized Approach

Medicare and chronic disease management: integrated care as an exceptional circumstance?

2010 ◽  
Vol 34 (2) ◽  
pp. 152 ◽  
Author(s):  
Michael J. Taylor ◽  
Hal Swerissen
Keyword(s):  
Quality Improvement ◽  
Chronic Disease ◽  
Disease Management ◽  
Diabetic Patient ◽  
Patient Care ◽  
Integrated Care ◽  
Chronic Disease Management ◽  
Hypothetical Patient ◽  
Exceptional Circumstance

Chronic disease represents a significant challenge to the design and reform of the Australian healthcare system. The Medicare Benefits Schedule (MBS) provides a framework of numerous chronic disease management programs; however, their use at the patient level is complex. This analysis of the MBS chronic disease framework uses a hypothetical case study of a diabetic patient (with disease-related complications and a complex psychosocial background) to illustrate the difficulties in delivering appropriate multidisciplinary chronic disease care under the MBS. The complexities at each step – from care planning, service provision, and monitoring and review – are described, as are the intricacies involved in providing patient care under different MBS programs as well as those in the broader health and community care system. As demonstrated by this case study, under certain circumstances the provision of truly integrated care to this hypothetical patient would constitute an ‘exceptional circumstance’ under the MBS. Although quality improvement efforts can improve functioning within the limitations of the current system, system-wide reforms are necessary to overcome complexity and fragmentation. What is known about the topic?Chronic disease management requires optimal health system design to provide appropriate patient care. In Australia, the Medicare Benefits Schedule (MBS) provides chronic disease-focussed programs, but the multitude of available programs and items are administratively complex, overlapping and subject to claiming incompatibilities. What does this paper add? This paper illustrates the complexity of the various MBS programs for chronic disease management using a case study of the potential service response to a single diabetic patient with disease-related complications and a complex psychosocial background. This analysis illustrates the manifold problematic interactions and incompatibilities that may arise in relation to this hypothetical patient. What are the implications for practitioners?Under the current MBS framework, providing patients with optimum chronic disease management requires both clinical and administrative skill on the part of GPs. Time spent on administrative requirements is time away from clinical care. Although quality improvement efforts may improve functioning within the existing system to a certain extent, broader system reforms are necessary to support optimal chronic disease management in Australia.

scholarly journals A Framework to Support the Progressive Implementation of Integrated Team-based Care for the Management of Copd: a Collective Case Study

2022 ◽  
Author(s):  
Shannon L. Sibbald ◽  
Vaidehi Misra ◽  
Madelyn daSilva ◽  
Christopher Licskai
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Scale Up ◽  
Collective Case Study ◽  
Widespread Agreement ◽  
Team Based Care ◽  
Integrated Team

Abstract Background: In Canada, there is widespread agreement about the need for integrated models of team-based care. However, there is less agreement on how to support the scale-up and spread of successful models; there is limited empirical evidence to support this process in chronic disease management. We studied the supporting, and mitigating factors required to successfully implement and scale-up an integrated model of team-based care in primary care.Methods: We conducted a collective case study using multiple methods of data collection including interviews, document analysis, living documents, and a focus group. Our study explored a team-based model of care for chronic obstructive pulmonary disease (COPD) known as Best Care COPD (BCC) that has been implemented in primary care settings across Southwestern Ontario. BCC is a quality improvement initiative that was developed to enhance the quality of care for patients with COPD. Participants included healthcare providers involved in the delivery of the BCC program. Results: We identified several mechanisms influencing the scale-up and spread of BCC and categorized them as Foundational (e.g., evidence-based program, readiness to implement, peer-led implementation team), Transformative (adaptive process, empowerment and collaboration, embedded evaluation), and Enabling Mechanisms (provider training, administrative support, role clarity, patient outcomes). Based on these results, we developed a framework to inform the progressive implementation of integrated, team-based care for chronic disease management. Our framework builds off our empirical work and is framed by local contextual factors. Conclusions: This study explores the implementation and spread of integrated team-based care in a primary care setting. Despite the study’s focus on COPD, we believe the findings can be applied in other chronic disease contexts. We provide a framework to support the progressive implementation of integrated team-based care for chronic disease management.

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