scholarly journals Il Chronic Care Model

2021 ◽  
Vol 33 ◽  
pp. 141-145
Author(s):  
Luigi Apuzzo ◽  
Maddalena Iodice ◽  
Margherita Gambella ◽  
Angelica Scarpa ◽  
Francesco Burrai
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Healthcare Professionals ◽  
Reference Model ◽  
Steady Increase ◽  
Strong Impact ◽  
Care Model

In recent years, the incidence rate of chronic diseases shows a steady increase in every industrialized Country. The almost logarithmic trend of the number of people living with chronic diseases is constantly on the rise. Each predictive statistical model indicates a strong impact for national health systems at the level of the organization of care and management costs. It is urgent to systematically introduce an evidence-based care model in chronic care management such as the Chronic Care Model. The Chronic Care Model is the reference model for WHO. The Chronic Care Model allows for personalized, holistic, multi-professional assistance, characterized by a strong humanization of care, by preventive interventions and relationships between healthcare professionals, patients and caregivers as a system of care and assistance. The fundamental roles are social integration and the improvement of the quality of life of patients. The Chronic Care Model involves the use of a computerized system of information flow and telemedicine and trained healthcare professionals. The Chronic Care Model showed an improvement in the quality of life, a reduction in the number of hospitalizations, a better adherence to therapies, and a reduction in costs.

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 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 Chronic care model in primary care: can it improve health-related quality of life?

2016 ◽  
pp. 11
Author(s):  
Shaun Lee ◽  
Faridah Aryani ◽  
Siew Siang Chua ◽  
Li Ching Kok ◽  
Benny Efendie ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Health Related Quality ◽  
Care Model ◽  
Related Quality ◽  
Health Related ◽  
Improve Health

scholarly journals HEALTH-RELATED QUALITY OF LIFE AMONG DISPENSARY OBSERVATION PATIENTS WITH CHRONIC ILLNESS IN BULGARIA

2017 ◽  
Vol 5 ◽  
pp. 943-947
Author(s):  
Teodora Dimcheva ◽  
Boryana Levterova ◽  
Desislava Bakova ◽  
Nonka Mateva
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Subjective Assessment ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Strong Impact ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases

Introduction: The prevalence of chronic non-communicable diseases (NCDs) worldwide acquires epidemic dimensions. In Europe, five nosological groups (diabetes mellitus, cardiovascular disease, cancer, chronic respiratory diseases and mental disabilities) constitute 77% of NCDs and cause about 86% of deaths in the region.Objectives: This study aimed to assess the quality of life in patients with chronic non-communicable diseases under dispensary observation.Methods: The pilot cross-sectional study was performed among adult with chronic diseases in primary care practices in the Plovdiv district (the second largest in Bulgaria) from May to June 2013.Results: A total of 200 adults with chronic diseases participated in the study. The mean age was 55.6 years (range 25–95, standard deviation (SD) 16.9). The most common chronic diseases in our study were cardiovascular 51% (ischemic heart disease, hypertension, etc.), followed by endocrinology diseases (23%). There was statistically significant differences in the assessments of "general health" in different groups of participants by gender (χ2 = 16.65, P <0.002), age (χ2 = 12.57, P <0.05) and social status (χ2 = 28.54, P <0.0001).Conclusion: The subjective assessment of health is a factor that has a strong impact on the quality of life of patients and is an important component in evaluating the effectiveness of provided health care for patients with chronic non-communicable diseases.

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 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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