scholarly journals Revisiting the concept of ‘chronic disease’ from the perspective of the episode of care model. Does the ratio of incidence to prevalence rate help us to define a problem as chronic?

2013 ◽  
Vol 20 (1) ◽  
pp. 13-23 ◽  
Author(s):  
Jean K Soler ◽  
Inge Okkes ◽  
Sibo Oskam ◽  
Kes Van Boven ◽  
Predag Zivotic ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Prevalence Rate ◽  
Care Model ◽  
Episode Of Care

scholarly journals Quality Changes after Implementation of an Episode of Care Model with Strict Criteria for Physical Therapy in Ontario's Long‐Term Care Homes

2018 ◽  
Vol 53 (6) ◽  
pp. 4863-4885
Author(s):  
Caitlin McArthur ◽  
John Hirdes ◽  
Ashok Chaurasia ◽  
Katherine Berg ◽  
Lora Giangregorio
Keyword(s):  
Physical Therapy ◽  
Long Term Care ◽  
Care Homes ◽  
Quality Changes ◽  
Care Model ◽  
Term Care ◽  
Episode Of Care

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 Hospital-based chronic disease care model: protocol for an effectiveness and implementation evaluation

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037843
Author(s):  
Jennifer Sumner ◽  
Jason Phua ◽  
Yee Wei Lim
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Emergency Room ◽  
Clinical Outcomes ◽  
Qualitative Data ◽  
Emergency Room Visit ◽  
Type I ◽  
Care Model ◽  
Implementation Evaluation ◽  
Chronic Disease Patients

IntroductionNovel and efficient healthcare approaches are needed to better serve increasingly older chronic disease patients. Many effective integrated chronic disease management strategies have emerged from the primary care sector. However, in many Asian and developing countries, primary care is underdeveloped, and patients prefer secondary-based services. The Integrated Generalist-led Hospital (IGH) care model is a new approach, which may be better suited for chronic disease patients in the local context.Methods and analysisA hybrid type I study on the effectiveness and implementation of the IGH care model will be conducted. Implementation evaluation will be informed by the Consolidated Framework of Implementation Research (CFIR). Quantitative and qualitative data will be collected through in-depth interviews and focus group discussions with staff, a staff survey, patient interviews, clinical outcomes and cost data. Clinical outcomes include the length of stay, readmission, emergency room visit rate and mortality. Clinical outcomes will be summarised and compared with a propensity-matched ‘usual care’ group (derived from the general medicine ward(s) at a separate hospital). The Kaplan-Meier approach will be used to estimate time until death and time until first readmission (both within 30 days of discharge) and time until discharge. Multivariate regression models will be used to investigate the association between the care model and occurrence of readmission, emergency room visit and death, all within 30 days of discharge. Qualitative data will be analysed using a thematic analysis method. Qualitative and quantitative data will also be coded according to the five domains of the CFIR.Ethics and disseminationThis protocol was reviewed and approved by the National Healthcare Group Domain Specific Review Board (NHG DSRB 2019/00308). Results will be published in peer-reviewed scientific journals and conference presentations. Findings will also be discussed with key stakeholders through local dissemination events.

scholarly journals Chronic disease management: Discussing the perspectives of general practitioners in Italy

2019 ◽  
Vol 33 (1) ◽  
pp. 13-23
Author(s):  
Sara Barsanti ◽  
Francesca Guarneri
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
General Practitioners ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Chronic Disease Management ◽  
Point Of View ◽  
Care Model ◽  
Chronic Patients ◽  
Bonferroni Test

The aim of this paper is to provide an overview of general practitioners’ perspectives across key criteria for effective chronic disease management. The study setting is the Tuscany Region in Italy that implemented the Chronic Care Model in 2010 with multidisciplinary team to assist chronic patients. We used the results of a web-based survey of general practitioners (N = 1136) conducted in 2015 to compare the experiences and satisfaction of general practitioners involved (group 1) and not involved (group 2) in the Chronic Care Model. The analysis included all general practitioners, and compared the two groups’ perspectives of the different core aspects of Chronic Care Model through conducting an ANOVA analysis and Bonferroni test. General practitioners involved in the Chronic Care Model are found to be more favourably disposed toward measurement and benchmarking, and more satisfied in terms of decision support system. Conversely, no significant differences were found in terms of collaboration with specialists, which remains weak and in terms of community collaboration and involvement. This study provides a detailed investigation of the implementation of Disease Management Programs, by considering the professional point of view.

How Perioperative Leadership Fits into the Organization’s Episode of Care Model Plan

2018 ◽  
Vol 33 (4) ◽  
pp. e33-e34
Author(s):  
Carolyn Hoenicke ◽  
Lisa Hess ◽  
Mary Pat Gilligan ◽  
Judi Conley ◽  
Lori Vernon ◽  
...  
Keyword(s):  
Care Model ◽  
Episode Of Care

scholarly journals THE DYNAMICS OF THE PREVALENCE RATE OF GENERAL SOMATIC DISEASES BASED ON PERIODIC MEDICAL EXAMINATIONS OF METALLURGICAL WORKERS

2019 ◽  
Vol 96 (12) ◽  
pp. 1167-1171 ◽  
Author(s):  
Ekaterina L. Bazarova ◽  
O. F. Rosly ◽  
I. S. Osherov ◽  
N. A. Roslaya ◽  
L. Ya. Tartakovskaya ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Prevalence Rate ◽  
Circulatory System ◽  
Fold Increase ◽  
Disease Prevalence ◽  
Eye Disorders ◽  
Circulatory System Diseases ◽  
Somatic Diseases ◽  
Medical Examinations ◽  
Chronic Disease Prevalence

The paper analyzes the results chronic disease prevalence in metallurgical workers based on the results of the periodic medical examinations over 1998-2015. A significant increase in chronic disease prevalence was observed (1.29 times on the average): from 70.1 % in 1998 to 90.5 % in 2015 with eye disorders accounting for the 3.6-fold increase, chronic circulatory system diseases accounting for the 1.5-fold increase, diseases of the nervous system accounting for the 2.9-fold increase in prevalence. It that prevalence of respiratory diseases has also been observed to decrease by 1.4 times, the prevalence rate of diseases of the digestive system decreased by 1.6 times, anemias rate decreased by 2.1 times, gynecological diseases rate decreased 1.2 times.

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