The clinician’s guide to chronic disease management for long-term conditions Gill Furze The clinician’s guide to chronic disease management for long-term conditions Jenny Donnison and Robert JPLewin M & K Update168£26.0097819055391541905539150

Effective self-management is the cornerstone of chronic disease self-management. However, self-management of chronic disease in patients with comorbid dementia is particularly challenging. It is vital that clinicians, patients and carers work collaboratively to tailor self-management programs to each patient with dementia. This study aimed to identify barriers and facilitators of successful self-management in the context of cognitive impairment in order to optimise the capacity for self-management for persons with dementia (PWD). A qualitative study based on semistructured interviews was conducted in Victoria, Australia. Interviews were conducted with 12 people (employed in the ambulatory and dementia care sectors), representing six health services. Participants identified a healthcare system that is complex, not dementia friendly and not accommodating the needs of PWD who have comorbidities. Individual and systemic barriers contributed to ineffective self-management. Chronic disease support programs do not routinely undertake cognitive assessment or have guidelines for modified management approaches for those with cognitive impairment. Support needs to be long-term and requires a specialised skillset that recognises not only chronic disease management, but also the effect of cognition on self-management. Although formal guidelines are needed, care also needs to be tailored to individual cognitive abilities and deficits.

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Should endometriosis be managed within a chronic disease framework? An analysis of national policy documents

Australian Health Review ◽

10.1071/ah17185 ◽

2018 ◽

Vol 42 (6) ◽

pp. 627 ◽

Cited By ~ 1

Author(s):

Rebecca O'Hara ◽

Heather Rowe ◽

Louise Roufeil ◽

Jane Fisher

Keyword(s):

Clinical Practice ◽

Chronic Disease ◽

Disease Management ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Chronic Disease Management ◽

Coordinated Care ◽

Policy Documents ◽

Consensus Statements

Objective The aim of this study was to determine whether endometriosis meets the definition for chronic disease in Australian policy documents. Methods A qualitative case study approach was used to thematically analyse the definitions contained in Australian chronic disease policy documents and technical reports. The key themes were then compared with descriptions of endometriosis in peer-reviewed literature, clinical practice guidelines and expert consensus statements. Results The search yielded 18 chronic disease documents that provided a definition or characteristics of chronic disease. The thematic analysis identified key elements of chronic diseases pertaining to onset, causation, duration, treatment, disease course and impact (individual and societal). A comparison with endometriosis descriptions indicated that endometriosis meets five of the six chronic disease key elements. Conclusion In Australia, long-term and complex conditions are managed within a chronic disease framework and include mechanisms such as chronic disease management plans (CDMPs) to assist with coordination and management of these conditions. Because endometriosis has most of the characteristics of chronic disease, it could potentially be reframed as a chronic disease in endometriosis clinical practice guidelines and consensus statements. Further, the use of CDMPs may provide a mechanism to promote individualised care and multidisciplinary management of this chronic, enigmatic and debilitating disease. What is known about the topic? In Australia, long-term complex diseases can be managed within a chronic disease framework that include mechanisms for coordinated care such as CDMPs and team care arrangements. Endometriosis is described as an inflammatory, progressive, relapsing and, for some women, debilitating condition, but is rarely described as a chronic disease in the clinical practice guidelines and consensus statements available in Australia. What does this paper add? Endometriosis shares most of the characteristics of a chronic disease so may benefit from chronic disease management systems such as CDMPs. What are the implications for practitioners? CDMPs may be a useful mechanism to coordinate and improve the effectiveness of care for women with endometriosis who experience sustained symptoms of endometriosis.

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What is the long term impact of voucher scheme on primary care? Findings from a repeated cross sectional study using propensity score matching

BMC Health Services Research ◽

10.1186/s12913-019-4707-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Carrie H. K. Yam ◽

Eliza L. Y. Wong ◽

Valerie L. H. Fung ◽

Sian M. Griffiths ◽

Eng-Kiong Yeoh

Keyword(s):

Primary Care ◽

Chronic Disease ◽

Disease Management ◽

Chronic Disease Management ◽

Voucher Scheme ◽

Cross Sectional ◽

Public And Private ◽

Care Services ◽

Long Term Impact

Abstract Background Vouchers are increasingly used as a demand-side subsidy to reduce financial hardship and improve quality of services. Elderly Healthcare Voucher Scheme has been introduced by the Hong Kong Government since 2009 to provide subsidy to elderly aged 65 and above to visit ten different types of private primary care providers for curative, preventive and chronic disease management. Several enhancements have been made over the past few years. This paper (as part of an evaluation study of this unique healthcare voucher scheme) aims to assess the long term impact of the voucher scheme in encouraging the use of primary care services. Methods Two rounds of cross-sectional survey among elderly in Hong Kong were conducted in 2010 and 2016. Propensity score matching and analysis were used to compare changes in perception and usage of vouchers over time. Results 61.5% of respondents in 2016 agreed “the scheme encourages me to use more private primary care services”, a significant increase from 36.2% in 2010. Among those who agreed in 2016, the majority thought the voucher scheme would encourage them to use acute services (90.3%) in the private sector, rather than preventive care (40.3%) and chronic disease management (12.2%). Respondents also reported that their current usual choice of care was visiting “both public and private doctors” (61.9%), representing a significant increase (up from 48.4%) prior to their use of voucher. Conclusions The voucher scheme has encouraged the use of more private care services, particularly acute services rather than disease prevention or management of chronic disease. However, there needs to be caution that the untargeted and open-ended nature of voucher scheme could result in supply-induced demand which would affect long term financial sustainability. The dual utilization of health services in both the public and private sector may also compromise continuity and quality of care. The design of the voucher needs to be more specific, targeting prevention and chronic disease management rather than unspecified care which is mainly acute and episodic in order to maximize service delivery capacity as a whole for equitable access in universal health coverage and to contribute to a sustainable financing system.

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Teaching a Man to Fish: An Evaluation of a Chronic Disease Management Men’s Cooking Class

Canadian Journal of Dietetic Practice and Research ◽

10.3148/cjdpr-2021-038 ◽

2022 ◽

pp. 1-5

Author(s):

Chrissa Karagiannis ◽

Allison Cammer ◽

Emily Andreiuk ◽

Nicole Caron ◽

Michele Sheikh ◽

...

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Teaching And Learning ◽

Chronic Disease Management ◽

Self Management ◽

Limited Data ◽

Telephone Interviews ◽

Long Term Impact ◽

Cooking Classes

There is limited data on the effects of cooking classes on male participants. The LiveWell Chronic Disease Management program’s Men’s Cooking Class (MCC) aims to help participants gain skills and confidence with food to manage chronic diseases more independently and improve their health. This paper evaluates whether, and how, the program is effective in achieving its goals. A qualitative process was used to collect data from past program participants. Data collection included telephone interviews conducted with a sample of 27 past MCC attendees and a focus group held with a subsample of seven participants. Thematic analysis was performed on collected data. Five major themes emerged, including (i) practical and applicable content, (ii) kinesthetic teaching and learning, (iii) catering to the interests of participants, (iv) tailoring to the demographic, and (v) enjoyment and engagement. Findings indicate the current LiveWell MCC program is effective in meeting its goals. The themes identified are aspects of the program that contribute to this effectiveness. The thematic findings indicate areas in which to continuously adapt and monitor the effectiveness of this program and serve as recommendations for other programming. Further research on the long-term impact of MCC for self-management of chronic disease is needed.

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Interoperability Architecture of the ADLIFE Patient Empowerment Platform

Studies in Health Technology and Informatics - Public Health and Informatics ◽

10.3233/shti210316 ◽

2021 ◽

Author(s):

Gokce Banu Laleci Erturkmen ◽

Mustafa Yuksel ◽

Mert Baskaya ◽

Bunyamin Sarigul ◽

Alper Teoman ◽

...

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Chronic Disease Management ◽

Long Term Care ◽

Patient Empowerment ◽

Disease Patient ◽

Management Tools ◽

Term Care ◽

Hl7 Fhir

Chronic diseases introduce challenges for the patients to manage the changing requirements of the disease. Patient empowerment activities are a critical component to assist patients in their long-term care journey. In order to be effective, patient empowerment tools need to be well-integrated with the chronic disease management tools used at the clinical sites. This paper explores and analyzes the exploitation of HL7 FHIR to design and implement an interoperable patient empowerment platform that can be seamlessly integrated with external chronic disease management and Electronic Health Record (EHR) systems

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