Analysis of community chronic disease health management mode under the background of big data

In recent years, the “Internet + medical” exploration and the country’s vigorously promoted hierarchical diagnosis and treatment system have provided an opportunity to improve the status quo of diabetes. Some scholars have proposed “one-to-one binding community nurses” (Wang Li et al., 2016) and personalized treatment based on big data (He Ting et al., 2016). New chronic disease management concepts such as an integrated chronic disease management model for the elderly based on mobile medical technology (Che Fengyuan et al., 2016). Although different names are used, the core point of view is that patients and community doctors complete the contract, the community doctors will take care of the patients, and the hospital doctors will take care of the patients. The patient’s blood glucose data can be shared with relatives and friends, community doctors, and hospital doctors in real time with the help of platform tools such as blood glucose meters, mobile apps, and cloud medical platforms. And community and hospital doctors’ feedback on patients can also be sent to patients and relatives and friends in real time, thereby realizing hierarchical diagnosis and treatment of diabetic patients when medical resources are scarce and unevenly distributed. This article refers to this model as the “family-style chronic disease management model”. The interaction between patients, relatives and friends, community doctors, and hospital doctors is shown in Figure 1.

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Observation of Efficacy of Internet-Based Chronic Disease Management Model Combined with Modified Therapy of Bushenyiliu Decoction in Treating Patients with Type 2 Diabetes Mellitus and Prostate Cancer and Its Effect on Disease Control Rate

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/7767186 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Yi Wang ◽

Ankang Yin ◽

Tingting Bian ◽

Xiangyu Zhao ◽

Shijun Zheng ◽

...

Keyword(s):

Prostate Cancer ◽

Type 2 Diabetes ◽

Blood Glucose ◽

Chronic Disease ◽

Disease Management ◽

Chronic Disease Management ◽

Management Model ◽

Control Group ◽

Experimental Group

Objective. To explore the efficacy of Internet-based chronic disease management model combined with the modified therapy of Bushenyiliu decoction in treating patients with type 2 diabetes mellitus (T2DM) and prostate cancer and its effect on disease control rate (DCR). Methods. 120 patients with T2DM and prostate cancer admitted to the Affiliated Hospital of Yangzhou University, Yangzhou First People’s Hospital, from February 2019 to February 2020, were retrospectively analyzed and equally divided into the experimental group and the control group according to their admission order. Conventional treatment combined with the modified therapy of Bushenyiliu decoction was performed on all patients for 3 months, and the Internet-based chronic disease management model was adopted for patients in the experimental group additionally, so as to compare their short-term effect, survival time, disease progression, blood glucose indicators, immune function indicators, and type 2 Diabetes Self-Care Scale (2-DSCS) scores. Results. Compared with the control group, the experimental group obtained significantly higher DCR and objective remission rate (ORR) ( P < 0.05 ), higher survival time and disease progression ( P < 0.001 ), better blood glucose indicators and immune function indicators ( P < 0.001 ), and higher 2-DSCS scores ( P < 0.001 ) after treatment. Conclusion. Combining the Internet-based chronic disease management model with the modified therapy of Bushenyiliu decoction can effectively enhance the self-care ability of patients with T2DM and prostate cancer, improve their blood glucose level, promote their body immunity, and comprehensively optimize the cancer control effect, which should be promoted in practice.

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Faculty Opinions recommendation of Efficacy of a chronic disease management model for patients with chronic liver failure.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717985180.793472620 ◽

2013 ◽

Author(s):

Philip Rosenthal

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Liver Failure ◽

Chronic Disease Management ◽

Chronic Liver ◽

Management Model ◽

Chronic Liver Failure

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Professional nurses’ perceptions and experiences with the implementation of an integrated chronic care model at primary healthcare clinics in South Africa

Curationis ◽

10.4102/curationis.v40i1.1708 ◽

2017 ◽

Vol 40 (1) ◽

Cited By ~ 2

Author(s):

Ozayr H. Mahomed ◽

Shaidah Asmall

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Primary Healthcare ◽

Chronic Care Model ◽

Chronic Care ◽

Chronic Disease Management ◽

Management Model ◽

Care Model ◽

Professional Nurses ◽

Primary Healthcare Clinics

Background: An integrated chronic disease management model has been implemented across primary healthcare clinics in order to transform the delivery of services for patients with chronic diseases. The sustainability and rapid scale-up of the model is dependent on positive staff perceptions and experiences.Objectives: The aim of the study was to determine the perceptions and experiences of professional nurses with the integrated chronic care model that has been implemented.Method: A cross-sectional descriptive survey utilising a self-administered questionnaire was conducted amongst all professional nurses who were involved in delivering primary healthcare services at the 42 implementing facilities in September 2014. Each facility has between four and eight professional nurses providing a service daily at the facilitiesResults: A total of 264 professional nurses participated in the survey. Prior to the implementation, 34% (91) of the staff perceived the model to be an added programme, whilst 36% (96) of the staff experienced an increased workload. Staff noted an improved process of care, better level of interaction with patients, improved level of knowledge and better teamwork coupled with an improved level of satisfaction with the work environment at the clinic after implementation of the integrated chronic disease model.Conclusion: Professional nurses have a positive experience with the implementation of the integrated chronic disease management model.

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