disease management
Recently Published Documents


TOTAL DOCUMENTS

6545
(FIVE YEARS 1601)

H-INDEX

96
(FIVE YEARS 13)

2022 ◽  
Vol 34 (4) ◽  
pp. 1-23
Author(s):  
Zhangxiang Zhu ◽  
Yongmei Liu ◽  
Xianye Cao ◽  
Wei Dong

The Mobile Chronic Disease Management Service (MCDMS) is an emerging medical service for chronic disease prevention and treatment, but limited attention has been paid to the factors that affect users’ intention to adopt the service. Based on the unified theory of acceptance and use of technology 2 and the protection motivation theory, the authors built an MCDMS adoption model. The authors also verified the differentiating age effect on the service adoption intention from experiential distance perspective of the construal level theory. Empirical results showed that the young group focused more on the impact of effort expectancy, whereas the elderly group focused more on performance expectancy, imitating others, and perceived severity. Furthermore, the young group, however, focused more on the impact of perceived vulnerability, and offline medical habits showed no significant influence on either group’s intention to adopt, which were not consistent with the original hypotheses. The findings can aid MCDMS providers in selecting marketing strategies targeted toward different age groups.


2088 ◽  
Vol 11 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Amédé Gogovor ◽  
Michelle Savoie ◽  
Yola Moride ◽  
Marilyn Krelenbaum ◽  
Terrence Montague
Keyword(s):  

Author(s):  
Rutuja Rajendra Patil ◽  
Sumit Kumar

To understand the influence of agro-meteorological parameters to take decisions related to various factors in an integrated plant disease management, it becomes vital to carry out scientific studies on the factors affecting it. The different agro-meteorological parameters namely temperature, humidity, moisture, rain, phenological week, cropping season, soil type, location, precipitation, heat index, and cloud coverage have been considered for this study. Each parameter has been allocated the ranking by using a technique called analytical hierarchical process (AHP). The parameter priorities are determined by calculating the Eigenvalues. This helps to make decisions related to integrated plant disease management where the prediction of plant disease occurrence, yield prediction, irrigation requirements, and fertilization recommendations can be taken. To take these decisions which parameters are good indicators can be identified using this method. The parameters majorly contribute to plant diseases and pest management decision making while delivers minor contribution in irrigation and fertilizer management related decision making. The manual results are compared with software generated results which indicates that both the results correlate with each other. Therefore, AHP technique can be successfully implemented for prioritizing agro-meteorological parameters for integrated plant diseases management as the results for both levels are consistent (consistency ratio < 0.1).


2022 ◽  
Vol 293 ◽  
pp. 110651
Author(s):  
Evie E. Smith ◽  
Patrick H. Brown ◽  
Ellie M. Andrews ◽  
Kenneth A. Shackel ◽  
Brent A. Holtz ◽  
...  

Author(s):  
Brett Moran ◽  
Travis Frazier ◽  
Larry Steven Brown ◽  
Molly Case ◽  
Srinivas Polineni ◽  
...  

Author(s):  
Chrissa Karagiannis ◽  
Allison Cammer ◽  
Emily Andreiuk ◽  
Nicole Caron ◽  
Michele Sheikh ◽  
...  

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.


2022 ◽  
Author(s):  
Shannon L. Sibbald ◽  
Vaidehi Misra ◽  
Madelyn daSilva ◽  
Christopher Licskai

Abstract Background: In Canada, there is widespread agreement about the need for integrated models of team-based care. However, there is less agreement on how to support the scale-up and spread of successful models; there is limited empirical evidence to support this process in chronic disease management. We studied the supporting, and mitigating factors required to successfully implement and scale-up an integrated model of team-based care in primary care.Methods: We conducted a collective case study using multiple methods of data collection including interviews, document analysis, living documents, and a focus group. Our study explored a team-based model of care for chronic obstructive pulmonary disease (COPD) known as Best Care COPD (BCC) that has been implemented in primary care settings across Southwestern Ontario. BCC is a quality improvement initiative that was developed to enhance the quality of care for patients with COPD. Participants included healthcare providers involved in the delivery of the BCC program. Results: We identified several mechanisms influencing the scale-up and spread of BCC and categorized them as Foundational (e.g., evidence-based program, readiness to implement, peer-led implementation team), Transformative (adaptive process, empowerment and collaboration, embedded evaluation), and Enabling Mechanisms (provider training, administrative support, role clarity, patient outcomes). Based on these results, we developed a framework to inform the progressive implementation of integrated, team-based care for chronic disease management. Our framework builds off our empirical work and is framed by local contextual factors. Conclusions: This study explores the implementation and spread of integrated team-based care in a primary care setting. Despite the study’s focus on COPD, we believe the findings can be applied in other chronic disease contexts. We provide a framework to support the progressive implementation of integrated team-based care for chronic disease management.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sri Lekha Tummalapalli ◽  
Michelle M. Estrella ◽  
Deanna P. Jannat-Khah ◽  
Salomeh Keyhani ◽  
Said Ibrahim

Abstract Background Upcoming alternative payment models Primary Care First (PCF) and Kidney Care Choices (KCC) incorporate capitated payments for chronic disease management. Prior research on the effect of capitated payments on chronic disease management has shown mixed results. We assessed the patient, physician, and practice characteristics of practices with capitation as the majority of revenue, and evaluated the association of capitated reimbursement with quality of chronic disease care. Methods We performed a cross-sectional analysis of visits in the United States’ National Ambulatory Medical Care Survey (NAMCS) for patients with hypertension, diabetes, or chronic kidney disease (CKD). Our predictor was practice reimbursement type, classified as 1) majority capitation, 2) majority FFS, or 3) other reimbursement mix. Outcomes were quality indicators of hypertension control, diabetes control, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker (ACEi/ARB) use, and statin use. Results About 9% of visits were to practices with majority capitation revenue. Capitated practices, compared with FFS and other practices, had lower visit frequency (3.7 vs. 5.2 vs. 5.2, p = 0.006), were more likely to be located in the West Census Region (55% vs. 18% vs. 17%, p < 0.001), less likely to be solo practice (21% vs. 37% vs. 35%, p = 0.005), more likely to be owned by an insurance company, health plan or HMO (24% vs. 13% vs. 13%, p = 0.033), and more likely to have private insurance (43% vs. 25% vs. 19%, p = 0.004) and managed care payments (69% vs. 23% vs. 26%, p < 0.001) as the majority of revenue. The prevalence of controlled hypertension, controlled diabetes, ACEi/ARB use, and statin use was suboptimal across practice reimbursement types. Capitated reimbursement was not associated with differences in hypertension, diabetes, or CKD quality indicators, in multivariable models adjusting for patient, physician, and practice characteristics. Conclusions Practices with majority capitation revenue differed substantially from FFS and other practices in patient, physician, and practice characteristics, but were not associated with consistent quality differences. Our findings establish baseline estimates of chronic disease quality of care performance by practice reimbursement composition, informing chronic disease care delivery within upcoming payment models.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuyu Jiang ◽  
Pingping Sun ◽  
Zhongyi Chen ◽  
Jianlan Guo ◽  
Shanshan Wang ◽  
...  

Abstract Background Telehealth and online health information provide patients with increased access to healthcare services and health information in chronic disease management of older patients with chronic diseases, addressing the challenge of inadequate health resources and promoting active and informed participation of older patients in chronic disease management. There are few qualitative studies on the application of telehealth and online health information to chronic disease management in older patients. Chronic obstructive pulmonary disease is one of the most common chronic diseases in older adults. Telehealth is widely used in the management of chronic obstructive pulmonary disease. The purpose of this study was to explore the perceptions and experiences of older patients and healthcare providers in the application of telehealth and online health information to chronic disease management of chronic obstructive pulmonary disease. Methods A qualitative descriptive study with data generated from 52 individual semi-structured interviews with 29 patients [Law of the People’s Republic of China on the protection of the rights and interests of older people (2018 Revised Version) = >60 years old] with chronic obstructive pulmonary disease and 23 healthcare providers. The inductive thematic analysis method was used for data analysis. Results Four themes and 16 sub-themes were identified in this study. Four themes included: faced with a vast amount of online health information, essential competencies and personality traits ensuring older patients’ participation and sustained use, user experience with the use of technology, being in a complex social context. Conclusion The ability of patients to understand health information should be fully considered while facilitating access to online health information for older patients. The role of health responsibility and user experience in older patients’ participation and sustained use of telehealth and online health information needs to be emphasised. In addition, the complex social context is a determining factor to be considered, particularly the complex impact of a reliance on offspring and social prejudice on the behaviour of older adults using telehealth and online health information.


Sign in / Sign up

Export Citation Format

Share Document