A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature?

Clinical Inertia and Outpatient Medical Errors

“…There is substantial evidence to support this third point as well. [32][33][34][35][36][37][38] While the clinical points made by Phillips disease care. In chronic disease management, the task faced by health care providers (and the patient) is one in which decisions are made to control a process that is manifest in varying states of patient health.…”

“…It has been argued that incorporating key design features of clinical trials into routine chronic disease care may dramatically improve care and reduce clinical inertia. 33,52,53 However, clinical trial protocols are notoriously expensive and too resource-intensive to provide a practical template for usual care. As primary care physicians with experience in both routine primary care practice and in clinical trials, we have identified three particular features of clinical trial protocols that may be transferable to routine primary care practice.…”

Chronisch-vermoeidheidssyndroom

“…Three organisational models were found: the Chronic Care model, 168 the ICCC framework (Innovative Care for Chronic Conditions, WHO 2002), and the New Zealand Chronic Care Management Programme. 169 Finally, studies discussing the outcomes of Disease Management Programs in chronic disorders were also found.…”

“…The CCM or Chronic Care Model 170 The Chronic Care Model ( Figure 2) has been developed and described by Wagner, in 2001. 168,170 The CCM is made up of six major elements: community resources, the health care system surrounding the provider organization, patient self-management, decision support, delivery system redesign, and clinical information systems. 171 In several countries, this model has been used to describe, introduce or study changes in the care of chronic conditions, e.g.…”

Innovations in primary care: Implications for hypertension detection and treatment

“…These initiatives are described below, but it is important to note that the challenges described above are not exclusive to hypertension; family physicians treating persons with other chronic diseases face similar challenges. The chronic care model has therefore been developed to enhance the level of care for persons with chronic diseases (6). In this model, the delivery of care is considered under a number of domains, which include health system organization, community resources, information systems, decision support, patient self-management and delivery system design.…”