BACKGROUND The prevalence, health care expenditures, and hospitalization experiences are important considerations among elderly populations with multiple chronic conditions. METHODS A cross-sectional analysis was conducted on a nationally random sample of 1 217 103 Medicare fee-for-service beneficiaries aged 65 and older living in the United States and enrolled in both Medicare Part A and Med...

Purpose: To share experiences by discussing the necessity, the challenges and the used (implementation) strategies on integrated care. Context: Integrated care and chronic care by SGE will be described. SGE delivers with 260 professionals integrated primary healthcare, based on protocols, standards and disease programs for 80,000 people. There is a formalized and structural cooperation with hos...

QUESTIONS UNDER STUDY Patients with chronic illnesses like diabetes mellitus benefit from care following the concept of the Chronic Care Model. To improve quality and to be responsive to patients' needs reliable data on patients' view of care in different healthcare settings are required. We evaluated the congruency of diabetes care with the Chronic Care Model between managed and non-managed ca...

Phase I of the voluntary chronic care improvement (CCI-I) under traditional fee-for-service Medicare initiative seeks to extend the benefits of disease management to an elderly population with comorbid chronic medical conditions. Active, sustained involvement of treating physicians, a historical deficit of disease management programs, is a CCI-I program goal. During the last decade, Kaiser Perm...

Chronic kidney disease (CKD), evidenced by the gradual loss of function in an insidious and asymptomatic way, appears this scenario as a relevant global public health problem, due to expressive growth its prevalence, impacts chronic complications high cost. social economic. The study aims reflect on contributions nursing self-care patients with Kidney Disease. This is descriptive, qualitative r...

conclusions the findings of this study support concern about inadequate knowledge, attitudes, and practice regarding chronic pain management. we believe that further education and practical training will be needed for adequate pain management. background pain can adversely affect every aspect of a patient’s daily activity, and consequently, it has a great influence on the quality of life. studi...

The emergence of point-of-care (POC) diagnostics specifically designed for low-resource settings coupled with the rapid increase in need for routine care of patients with chronic diseases should prompt reconsideration of how health care can be delivered most beneficially and cost-effectively in developing countries. Bolstering support for primary care to provide rapid and appropriate integrated...

The burden of chronic disease is placing pressure on the Canadian health care system. A small but important chronic disease population is children with medical complexity, defined as individuals with: high family-identified needs; complex chronic disease necessitating specialized care; functional disability; and high health care utilization. These patients present a challenge to community provi...