scholarly journals Evaluation of Effectiveness of Chronic Care Model on Smokeless Tobacco Cessation by Measuring Urinary Cotinine Level among the Patient Attended in the Selected Dental College & Hospital, India -An Experimental Study

2021 ◽  
pp. 438-443
Author(s):  
Sakshi Rao ◽  
Pooja Raut ◽  
Riya Agrawal ◽  
Kumar Gaurav Chhabra ◽  
Priyanka Paul Madhu ◽  
...  
Keyword(s):  
Smokeless Tobacco ◽  
Chronic Care Model ◽  
Tobacco Cessation ◽  
Chronic Care ◽  
Term Treatment ◽  
Care Model ◽  
College Hospital ◽  
Urinary Cotinine ◽  
Cotinine Level ◽  
Long Term Treatment

Background: Smokeless tobacco is one of the most common causes of preventable death. It is a big social and health issue. Smokeless tobacco utilization is a significant cause of morbidity and mortality in India, with more than 20% of the world's tobacco-related mortality occurring in India. The Chronic Care Model is a guide for the principal care management of higher-quality chronic diseases. The Chronic Care Model gives a structure that redirects health care resources to better meet the demands and issues of individual with chronic illness. Objectives: To explore the effectiveness of chronic care model for smokeless tobacco cessation in patients reporting to Sharad Pawar Dental College and Hospital. Methodology: The study will be conducted among patients reporting to Out Patient Department of Sharad Pawar Dental College and Hospital who are chronic smokeless tobacco users. This study will be conducted between two groups, in one of the groups chronic Care Model will be used and behavioural counselling will be given and in other group only behavioural counselling will be given. Urinary cotinine level test will be performed on both groups of patients consuming smokeless tobacco. Results: The chronic care model would be advantageous for the smokeless tobacco cessation. In India, there appears to be an immediate need for the promotion of awareness and informing people about the health problems associated with the use of smokeless tobacco through the model of chronic care. Conclusion: The utilization of Chronic Care Model (CCM) helps patient realize that not only it is a habit to use smokeless tobacco, but a chronic condition that requires long-term treatment to cure it.

Vernetzte Betreuung von Patientinnen und Patienten mit Herzinsuffizienz

2011 ◽  
Vol 68 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Cornelia Bläuer ◽  
Otmar Pfister ◽  
Christa Bächtold ◽  
Therese Junker ◽  
Rebecca Spirig
Keyword(s):  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model

Patienten mit Herzinsuffizienz (HI) sind in ihrer Lebensqualität stark eingeschränkt, haben eine schlechte Prognose und müssen häufig hospitalisiert werden. Die Forschung hat gezeigt, dass die Gesundheitsresultate dieser Patientengruppe durch ein gutes Selbstmanagement verbessert werden können. Eine Möglichkeit zur Verbesserung des Selbstmanagements sind ambulante Diseasemangementprogramme, welche die Lebensqualität verbessern und Kosten reduzieren helfen. Solchen Programmen liegt meist das von der WHO entwickelte Chronic Care Model zu Grunde, welches auf die Betreuung chronisch Kranker mit einem hohen Selbstmanagementbedarf ausgerichtet ist. Um ein gutes Selbstmanagement entwickeln zu können braucht es bedürfnissorientierte Patientenschulung und -beratung, denn die Betroffenen benötigen nicht nur Wissen zur Krankheit sondern müssen handlungsfähig werden. In der Schweiz fehlt es an etablierten Modellen und Programmen zur Betreuung von chronisch Kranken, insbesondere HI-Betroffenen. Aus diesem Grund hat eine schweizerische Expertengruppe für HI eine Modell zur „vernetzten Betreuung“ erstellt. In Anlehnung daran bietet die Schweizerische Herzstiftung seit 2009 ein Schulungsprogramm zur Unterstützung von Ärzten, Betroffenen und deren Angehörige an. Eine erste Evaluation hat unterschiedliche Resultate von Seiten der Ärzte gezeigt. Von den Betroffenen waren die Rückmeldungen äußerst positiv. Sie beurteilten die Schulungen als bedürfnissorientiert und unterstützend. (Geschlechtsbestimmende Begriffe stehen immer stellvertretend für beide Geschlechter)

scholarly journals Can Substance Use Disorders be Managed Using the Chronic Care Model? Review and Recommendations from a NIDA Consensus Group

2013 ◽  
Vol 35 (2) ◽  
Author(s):  
A. Thomas McLellan ◽  
Joanna L. Starrels ◽  
Betty Tai ◽  
Adam J. Gordon ◽  
Richard Brown ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model ◽  
Consensus Group ◽  
Model Review

scholarly journals Care production for tuberculosis cases:analysis according to the elements of the Chronic Care Model

2016 ◽  
Vol 50 (2) ◽  
pp. 239-246 ◽  
Author(s):  
Daiane Medeiros da Silva ◽  
Hérika Brito Gomes de Farias ◽  
Tereza Cristina Scatena Villa ◽  
Lenilde Duarte de Sá ◽  
Maria Eugênia Firmino Brunello ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chronic Care Model ◽  
Health Care Services ◽  
Chronic Care ◽  
Capital City ◽  
Care Model ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Abstract OBJECTIVE: To analyze the care provided to tuberculosis cases in primary health care services according to the elements of the Chronic Care Model. METHOD: Cross-sectional study conducted in a capital city of the northeastern region of Brazil involving 83 Family Health Strategy professionals.A structured tool adapted to tuberculosis-related care in Brazil was applied.Analysis was based on the development of indicators with capacity to produce care varying between limited and optimum. RESULTS: The organization of care for tuberculosis and supported self-care presented reasonable capacity.In the coordination with the community, the presence of the community agent presented optimum capacity.Partnership with organizations of the community and involvement of experts presented limited capacity.The qualification of professionals, the system for scheduling and monitoring tuberculosis in the community, and the clinical information system presented basic capacity. CONCLUSION: The capacity of the primary health care services to produce tuberculosis-related care according to the elements of the Chronic Care Model is still limited.Overcoming the fragmentation of care and prioritizing a systemic operation between actions and services of the health care network remains as a major challenge.

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