Measuring Primary Care Organizational Capacity for Diabetes Care Coordination: The Diabetes Care Coordination Readiness Assessment

Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

Ramadan Fasting and Diabetes Care

Measuring organizational readiness for knowledge translation in chronic care

BACKGROUND Knowledge translation (KT) is an imperative in order to implement research-based and contextualized practices that can answer the numerous challenges of complex health problems. The Chronic Care Model (CCM) provides a conceptual framework to guide the implementation process in chronic care. Yet, organizations aiming to improve chronic care require an adequate level of organizational ...

Care Dependency and Diabetes Self-Care Activities in Elderly Individuals with Diabetes

Introduction: Changing lifestyle, physical inactivity, and obesity lead to increased diabetes prevalence in the elderly. Diabetes management involves self-care activities, such as medical nutrition therapy, physical activity, use of pharmacologic agent, self-monitoring of blood glucose, foot care, and smoking cessation. Physiological, biological, mental changes that show up with aging and the p...

Using Clinical Microsystems to Implement Care Coordination in Primary Care

Objective: Care coordination is a core competency for primary care nurses and an essential element of the Patient Centered Medical Home (PCMH) model. Implementing care coordination in primary care is challenging and requires changes in roles, staffing, and culture. Clinical Microsystems are frontline teams of healthcare staff that, when engaged in quality improvement, can make important contrib...