Implementing Collaborative Care Management for Depression, Diabetes, and Cardiovascular Disease Across Eight Health Care Systems

Chapter 6 considers the roots of the mortality crisis that many postsocialist countries faced in the 1990s and the declining life expectancies that some countries continue to face, while others have increased dramatically. It shows how privatization dismantled socialist health care systems leading to significant deteriorations in health outcomes in some countries and how the privatization of previously state-run breweries and distilleries and deregulation of sales led to increased alcohol consumption. The chapter also evaluates rampant alcohol dependency and abuse as a significant factor in declining life expectancy and increasing mortality rates, and points to the psychosocial stress of transition as a major root cause for alcoholism, cardiovascular disease, and suicide.

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Cardiovascular Disease among Patients with Diabetes: The Current Scenario in Saudi Arabia

Current Diabetes Reviews ◽

10.2174/1573399816666200527135512 ◽

2020 ◽

Vol 16 ◽

Author(s):

Asirvatham Alwin Robert ◽

Mohamed Abdulaziz Al Dawish

Keyword(s):

Cardiovascular Disease ◽

Health Care ◽

Saudi Arabia ◽

Weight Control ◽

Health Care Systems ◽

Control Program ◽

Developed Countries ◽

Control Measures ◽

Patients With Diabetes ◽

Care Systems

: One of the well-recognized conditions linked to diabetes mellitus (DM) is cardiovascular disease (CVD). Those affected by DM face greater risk for early onset of CVD. Although huge strides have been made in cardiovascular therapy and prevention, with striking results in decreasing diabetes-related coronary mortality in developed countries, the morbidity and mortality due to CVD continue to remain high among patients with diabetes. While there is an increasing incidence of cardiovascular event survivors with DM across the world, the number of DM patients with higher cardiovascular risk is predicted to soar, presenting a massive challenge for health care systems globally, including Saudi Arabia. A report of the Saudi Scientific Diabetes Society indicates that more than 50% of patients with DM die due to cardiovascular causes. In fact, Saudi Arabia globally ranks among the top 10 countries in the prevalence of diabetes. However, the incidence of CVD and its risk factors among patients with diabetes in Saudi Arabia have not yet been well documented. This review aims to present an overview of CVD among patients with DM in Saudi Arabia, through a comprehensive review of currently available published literature. The findings indicate that diabetes linked CVD burden in Saudi Arabia is expected to exponentially increase to a very high degree unless a wide-ranging epidemic control program is initiated. The findings emphasize the need for maintenance of a healthy diet accompanied by exercise, an active lifestyle and weight control measures among the population. It is essential that the health care system focus on raising awareness among the population, and implement appropriate measures for prevention, early detection and suitable management of CVD among patients with DM.

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A Comparison of Collaborative Care Outcomes in Two Health Care Systems: VA Clinics and Federally Qualified Health Centers

Psychiatric Services ◽

10.1176/appi.ps.201700067 ◽

2018 ◽

Vol 69 (4) ◽

pp. 431-437 ◽

Cited By ~ 2

Author(s):

Kathleen M. Grubbs ◽

John C. Fortney ◽

Jeffrey Pyne ◽

Dinesh Mittal ◽

John Ray ◽

...

Keyword(s):

Health Care ◽

Collaborative Care ◽

Health Care Systems ◽

Health Centers ◽

Federally Qualified Health Centers ◽

Care Systems ◽

Care Outcomes

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Evaluation of Perinatal Care Management Programs: An Integrated Review

Care Management Journals ◽

10.1891/cmaj.5.1.19.61264 ◽

2004 ◽

Vol 5 (1) ◽

pp. 19-24 ◽

Cited By ~ 2

Author(s):

Anne F. Carman ◽

Catherine R. Coverston ◽

Rosanne Schwartz ◽

Myrna L. Warnick

Keyword(s):

Health Care ◽

Care Management ◽

Health Care Systems ◽

Perinatal Care ◽

Current Data ◽

Perinatal Medicine ◽

Newborn Intensive Care Unit ◽

Integrate Health Care ◽

Care Systems ◽

Study Designs

Nursing care management has become a popular method to integrate health care systems with goals of decreasing costs and improving quality. As high-risk pregnancies and newborn intensive care unit (NBICU) costs generate some of the highest costs in health care, care management has been a strategy introduced in perinatal medicine to accomplish the same goals. Consistent with other areas of nursing, perinatal care management currently has no agreed upon model of practice or method of evaluating how and whether the goals have been achieved. The purpose of this project was to evaluate various perinatal care management programs found in the literature. Electronic and manual searches of current data were performed locating 31 relevant articles. From these articles, nine met the inclusion criteria and were reviewed. While some care management programs were able to decrease costs and improve outcomes, other programs did not. There are possibly two reasons for the varied results in the literature. The first is that there are differences in program designs, decreasing the likelihood of identifying specific interventions that can make a difference. Second, thus far researchers have used ineffective study designs in evaluating care management programs. More research needs to be completed before a conclusion can be drawn whether perinatal care management can decrease costs while improving quality.

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Informatics to Improve Medical Care of a Nation

Methods of Information in Medicine ◽

10.1055/s-0038-1635402 ◽

1982 ◽

Vol 21 (03) ◽

pp. 109-113 ◽

Cited By ~ 1

Author(s):

M. Subramanian

Keyword(s):

Health Care ◽

Care Management ◽

Health Care Systems ◽

World Health ◽

World Health Assembly ◽

Primary Health ◽

The World ◽

Care Approach ◽

Care Systems ◽

Health Organization

At the Thirtieth World Health Assembly in 1977 the Member States of the World Health Organization endorsed the policy of developing their health care systems through the primary health care approach. The present paper is concerned with the application of certain significant features of informatics for the development and improvement of health care management in different countries.

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