Background Modern health systems are increasingly faced with the challenge to provide effective, affordable and accessible health care for people with chronic conditions. As evidence on the specific unmet needs and their impact on health outcomes is limited, practical research is needed to tailor chronic care to individual needs of patients with diabetes. Qualitative approaches to describe prof...

Introduction: Background Chronic mental illnesses have long periods, are recurring, and require continuous care and, becoming chronic, they double the problems of patients their family. The study’s purpose is, thus, development guidelines for family-centered collaborative with chronic referring to medical centers (1). Methods This mixed methods study is based on stages guideline adaptation prov...

BACKGROUND Multiple studies have investigated the outcome of integrated care programs for chronically ill patients. However, few studies have addressed the specific role hospitals can play in the downstream collaboration for chronic disease management. Our objective here is to provide a comprehensive overview of the role of the hospitals by synthesizing the advantages and disadvantages of hospi...

Objectives: One of the principle of mental health programs is burden and coping of caregivers of chronically mental disorders patients. In this regard, the aim of present study was to measure the amount of burden and relationship between burden and their coping strategies of caregivers. Methods: One hundred of main caregivers of patients (50 schizophrenic patients, 50 bipolar patients) from ...

PURPOSE Guided Care (GC) is a model of health care for multimorbid older adults that is provided by a registered nurse who works with the patients' primary care physician (PCP). The purpose of this study was to determine whether GC improves patients' primary caregivers' depressive symptoms, strain, productivity, and perceptions of the quality of care recipients' chronic illness care. DESIGN A...

Bonomi AE, Wagner EH, Glasgow R, VonKorff M. Assessment of Chronic Illness Care: A practical tool for quality improvement. Health Services Research 2002; 37(3): 791-820. This article describes initial testing of the Assessment of Chronic Illness Care (ACIC), a practical quality-improvement tool to help organizations evaluate the strengths and weaknesses of their delivery of care for chronic ill...

Chronic pain is common and management hampered by lack of resources in primary and secondary care. Nurse- or pharmacist-led clinics have been shown to lead to improvements in care for patients with chronic pain. This study showed that a combined nurse/pharmacist-led clinic for managing chronic pain in primary care can lead to improvements in management of pain, reduction in use of secondary car...

Chronic disease is the most prevalent problem in health care today. It is the most common cause of disability and consumes 78% of health expenditures.1 Caring for patients with chronic disease is very different from caring for acutely ill patients, yet it is not a prominent part of undergraduate medical education.2 Current medical education in chronic illness care does not adequately emphasize ...