UNLABELLED This study describes the characteristics of extramural and transmural telemonitoring projects on chronic heart failure in Belgium. It describes to what extent these telemonitoring projects coincide with the Chronic Care Model of Wagner. BACKGROUND The Chronic Care Model describes essential components for high-quality health care. Telemonitoring can be used to optimise home care for...

With the implementation of the Affordable Care Act (ACA), access to insurance and coverage of preventive care services has been expanded. By removing the barrier of shared costs for preventive care, it is expected that an increase in utilization of preventive care services will reduce the cost of chronic diseases. Early detection and treatment is anticipated to be less costly than treatment at ...

Twopapers in this issue of BMJ examine developments in the management of chronic illness in the United States and explore their potential relevance to recent NHS initiatives and policies. 2 A new King’s Fund study of the care of chronically ill people in five leading US managed care organisations, summarised in the paper by Dixon et al (p 220), provides several observations and insights of rele...

Chad Boult, MD, MPH, MBA, (top) is Director, lipitz Center for Integrated Health Care, and Professor in the Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University; and a participant on the Advisory Panel of the Case Management Society of America’s National Transitions of Care Coalition to improve the quality of care between health care settings. ...

background: the present study aimed to investigate the effects of work shifts and mental workload on chronic fatigue among female nurses in intensive care units of selected hospitals in shiraz.   methods: the participants in this cross-sectional study were 118 female nurses working in intensive care units of three hospitals in shiraz with an average age of 304.8± years. sp (samn-perelli) mental...

This DataWatch presents estimates of the health care costs for all adults who were continuously enrolled in a large staff-model health maintenance organization (HMO) during 1992. More than one-third of these adults were diagnosed with at least one chronic condition in 1992, and costs for this population are at least twice those of the population without chronic conditions. A diagnosis of a chro...

background chronic heart failure (chf) is associated with unpredictably increased prevalence of hospital admissions. self-care is one of the most important aspects of management for patients with chf. self-care adequacy has led to increased satisfaction, independence in daily activities, reduced stress, and morbidity. objectives we aimed to assess the relationship between self-care behavior and...