Time for chronic disease care and management

Using scenarios in chronic disease management guidelines for primary care

The Prodigy system is a guideline-based decision-support system designed to assist general practitioners in England choose the appropriate therapeutic action for their patients. As part of the system, we developed a novel model for encoding clinical guidelines for managing patients with chronic diseases such as asthma and hypertension. The model structures a guideline as a set of choices to be ...

Collaborative Care for Patients with Depression Improves Chronic Disease Management

Setting and participants. The study was conducted in 14 primary care clinics in the Group Health Cooperative, a large health care system in Washington State. Subjects were included if they had diagnoses of diabetes, CHD, or both and screened positive for depression using the Patient Health Questionnaire-9 (PHQ-9). Subjects also were ambulatory, Englishspeaking, and had plans to be enrolled in a...

Managed Care Guidelines For Management of Chronic Kidney Disease

A Guideline Model for Chronic Disease Management in Primary Care

ion Guideline authors intuitively express criteria in terms of abstract concepts such as ‘cardiovascular risk’. This requires the system to infer new information from existing information in the EPR. To enable this, we provide a set of functions with which abstract concepts, such as the risk rating, can be computed from more elementary concepts such as BP, smoking, cholesterol level, and other ...

Chronic kidney disease: identification and management in primary care

Chronic kidney disease (CKD) is an important and common noncommunicable condition globally. In national and international guidelines, CKD is defined and staged according to measures of kidney function that allow for a degree of risk stratification using commonly available markers. It is often asymptomatic in its early stages, and early detection is important to reduce future risk. The risk of c...