Three overlapping initiatives can be found in the effort to improve the management of chronic illness: the report card initiative, the disease management industry, and "Improving Chronic Illness Care." The third of these initiatives proposes the Chronic Care Model to assist provider organizations in chronic care improvement. The Chronic Care Model is made up of six major elements: community res...

The purpose of this paper is to describe the characteristics of the high-performing chronic care system and the four implementation strategies needed to achieve such a system. The paper starts with a description of the Chronic Care Model and summarises evidence on its impact. This is followed by a review of international evidence on gaps in the quality of chronic care. These gaps suggest that, ...

BACKGROUND The prevalence of multiple chronic diseases is increasing and is a common problem for primary health care providers. This study sought to determine the patient and health system burden of multiple chronic diseases among adults in Ontario, Canada, with a focus on the ambulatory health care system (outpatient primary health care and specialist services). METHODS This population-based...

Introduction: Chronic condition management has been structured around models that aim at facilitating and development of care through initiatives of self-management, organisational restructuring and information system enhancement. Aim: Investigate issues around UK’s health care framework adopted for chronic condition management. Results: UK’s health care framework for chronic condition care dra...

a survey of relationship between perceived self-efficacy and self-care performance in diabetic patients referring to urmia diabetes center     khezerloo s [1] *, feizi a [2]     received: 13apr, 2012 accepted: 23may, 2012     abstract   background & aims : diabetes is a chronic and disabling disease. in diabetes, self-caring promotes the quality of life and reduces the number of hospitalization...

OBJECTIVE Investigate whether high-quality chronic care delivery improved the experiences of patients. DESIGN This study had a longitudinal design. SETTING AND PARTICIPANTS We surveyed professionals and patients in 17 disease management programs targeting patients with cardiovascular diseases, chronic obstructive pulmonary disease, heart failure, stroke, comorbidity and eating disorders. ...