scholarly journals Effects on well-being, quality of care and costs of the combined Chronic Care Model and a population health management model: Embrace

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
K Wynia ◽  
SLW Spoorenberg ◽  
RJ Uittenbroek ◽  
B Middel ◽  
BPH Kremer ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Population Health ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Health Management ◽  
Well Being ◽  
Management Model ◽  
Care Model ◽  
Population Health Management

scholarly journals Assessment of the quality of primary care for the elderly according to the Chronic Care Model

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Líliam Barbosa Silva ◽  
Sônia Maria Soares ◽  
Patrícia Aparecida Barbosa Silva ◽  
Joseph Fabiano Guimarães Santos ◽  
Lívia Carvalho Viana Miranda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Quality Of Care ◽  
Older People ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Statistical Difference ◽  
Care Model ◽  
Care Outcomes

ABSTRACT Objective: to evaluate the quality of care provided to older people with diabetes mellitus and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care Model (CCM) and identify associations with care outcomes. Method: cross-sectional study involving 105 older people with diabetes mellitus and/or hypertension. The Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used to evaluate the quality of care. The total score was compared with care outcomes that included biochemical parameters, body mass index, pressure levels and quality of life. Data analysis was based on descriptive statistics and multiple logistic regression. Results: there was a predominance of females and a median age of 72 years. The median PACIC score was 1.55 (IQ 1.30-2.20). Among the PACIC dimensions, the “delivery system design/decision support” was the one that presented the best result. There was no statistical difference between the medians of the overall PACIC score and individual care outcomes. However, when the quality of life and health satisfaction were simultaneously evaluated, a statistical difference between the medians was observed. Conclusion: the low PACIC scores found indicate that chronic care according to the CCM in the PHC seems still to fall short of its assumptions.

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

Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
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.

scholarly journals The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model

2003 ◽  
Vol 7 (1) ◽  
pp. 73-82 ◽  
Author(s):  
Victoria Barr ◽  
Sylvia Robinson ◽  
Brenda Marin-Link ◽  
Lisa Underhill ◽  
Anita Dotts ◽  
...  
Keyword(s):  
Health Promotion ◽  
Population Health ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model

scholarly journals Leveraging Health-Related Quality of Life in Population Health Management: The Case for Healthy Days

2017 ◽  
Vol 20 (1) ◽  
pp. 13-22 ◽  
Author(s):  
S. Lane Slabaugh ◽  
Mona Shah ◽  
Matthew Zack ◽  
Laura Happe ◽  
Tristan Cordier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Population Health ◽  
Health Management ◽  
Health Related Quality ◽  
Population Health Management ◽  
Related Quality ◽  
Health Related

scholarly journals The ten characteristics of the high-performing chronic care system

2010 ◽  
Vol 5 (1) ◽  
pp. 71-90 ◽  
Author(s):  
Chris Ham
Keyword(s):  
Health Care ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Implementation Strategies ◽  
Care Model ◽  
Policy Makers ◽  
High Performing ◽  
Health Care Leaders ◽  
Care System

AbstractThe purpose of this paper is to describe the characteristics of the high-performing chronic care system and the four implementation strategies needed to achieve such a system. The paper starts with a description of the Chronic Care Model and summarises evidence on its impact. This is followed by a review of international evidence on gaps in the quality of chronic care. These gaps suggest that, useful and influential as the Chronic Care Model is, more is needed to help health care decision makers bring about the reorientation required to meet the needs of populations in which chronic diseases predominate. The second half of the paper therefore sets out the ten characteristics and four implementation strategies required to achieve a high-performing chronic care system. In doing so, it provides practical guidance to policy makers and health care leaders on the most promising strategies for improving the provision of chronic care, drawing on evidence from the experience of England, New Zealand and USA.

scholarly journals Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Jing-Xia Kong ◽  
Lin Zhu ◽  
Hong-Mei Wang ◽  
Ying Li ◽  
An-Ying Guo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Health Behaviors ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Intervention Group ◽  
Care Model ◽  
Model Based

Objective. The Chronic Care Model, based on core elements of team-centered care in chronic diseases, has widely been accepted. This study was aimed at evaluating the effectiveness of the Chronic Care Model in type 2 diabetes management. Methods. A group randomized experimental study was conducted. Twelve communities of the Zhaohui Community Health Service Center in Hangzhou, China, were randomly assigned into an intervention group (n=6) receiving the Chronic Care Model-based intervention and a control group (n=6) receiving conventional care. A total of three hundred patients, twenty-five for each community, aged ≥18 years with type 2 diabetes for at least 1-year duration, were recruited. Data of health behaviors, clinical outcomes, and health-related quality of life (Short-Form 36-item questionnaire) were collected before and after a 9-month intervention and analyzed using descriptive statistics, t-test, chi-square test, binary logistic regression, and linear mixed regression. A total of 258 patients (134 in intervention and 124 in control) who completed the baseline and follow-up evaluations and the entire intervention were included in the final analyses. Results. Health behaviors such as drinking habit (OR=0.07, 95% CI: 0.01, 0.75), physical activity (OR=2.92, 95% CI: 1.18, 7.25), and diet habit (OR=4.30, 95% CI: 1.49, 12.43) were improved. The intervention group had a remarkable reduction in glycated hemoglobin (from 7.17% to 6.60%, P<0.001). The quality of life score changes of the role limitation due to physical problems (mean=9.97, 95% CI: 3.33, 16.60), social functioning (mean=6.50, 95% CI: 2.37, 10.64), role limitation due to emotional problems (mean=8.06, 95% CI: 2.15, 13.96), and physical component summary score (mean=3.31, 95% CI: 1.22, 5.39) were improved in the intervention group compared to the control group. Conclusion. The Chronic Care Model-based intervention helped improve some health behaviors, clinical outcomes, and quality of life of type 2 diabetes patients in China in a short term.

The Chronic Care Model and Relationships to Patient Health Status and Health-Related Quality of Life

2008 ◽  
Vol 35 (5) ◽  
pp. S398-S406 ◽  
Author(s):  
Dorothy Y. Hung ◽  
Russell E. Glasgow ◽  
L. Miriam Dickinson ◽  
Desireé B. Froshaug ◽  
Douglas H. Fernald ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Health Related Quality ◽  
Care Model ◽  
Patient Health Status ◽  
Patient Health ◽  
Related Quality ◽  
Health Related

scholarly journals Chronic Care Model in Italy: a narrative review of the literature

2021 ◽  
Vol 22 ◽  
Author(s):  
Fabio Petrelli ◽  
Giovanni Cangelosi ◽  
Giulio Nittari ◽  
Paola Pantanetti ◽  
Giulia Debernardi ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Health Management ◽  
Clinical Care ◽  
Cochrane Library ◽  
Care Model ◽  
Chronic Patients ◽  
Eligibility Criteria ◽  
Critical Appraisal Skills

Abstract Aim: To analyze scientific literature on the development and implementation of the Chronic Care Model (CCM) in treating chronic diseases in the Italy context. Besides, to evaluate the effects of the activities carried out by the operators participating in the CCM on clinical care. Background: Italy is the second country globally for longevity, with 21.4% of citizens over 65 and 6.4% over 80. The CCM fits into this context, a care model aimed primarily at patients suffering from chronic diseases, especially in emergencies, as the recent COVID-19 pandemic. Methods: PubMed, Embase, Scopus, Cinahl, and Cochrane Library scientific databases were consulted, and the records selected as relevant by title and abstract by nine independent scholars, and disagreements were resolved through discussion. Finally, the studies included in this review were selected based on the eligibility criteria. Results: Twenty potentially relevant studies were selected, and after applying the eligibility criteria and screening by the Critical Appraisal Skills Program tool, eight included in this review. The studies showed the effectiveness of CCM for managing patients with heart failure in primary care settings and significant improvements in clinical outcomes, the reduction of inappropriate emergency room access for chronic patients, and the improvement of patients’ overall health with diabetes. The CCM organizational model is effective in improving the management of metabolic control and the main cardiovascular risk factors. Furthermore, this modality also allows doctors to dedicate more space to patients in the disease’s acute phase. Conclusion: The CCM, with its fundamental pillars of empowering self-management of care, could represent a valid alternative to health management. The managers of health services, especially territorial ones, could consider the CCM for the improvement of the treatments offered.

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