Background Recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a LEAN methodology, namely – an adaptation of Value Stream Mapping (VSM) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   Methods Over an 18-month time period, staff applied a patient-cen...

background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

conclusions the current study revealed that a significant percentage of sandwich generation females have chronic diseases. results a statistically significant difference was found between the two groups in terms of the presence of chronic diseases (p = 0.001). there was a significant correlation between chronic diseases and number of children (p = 0.03), person receiving care (p = 0.004), educa...

background few studies have focused on patients’ characteristics that affects acute kidney injury (aki) after total knee replacement surgery (tkr). objectives the primary objective of this retrospective study was to identify patients’ characteristics associated with aki after tkr. patients and methods between january 2008 and december 2009, 659 patients with a mean age of 67.1 years (range, 39-...

compiling clinical guidelines is one of the requirements of family physician plan and classification of health care services.1 the high prevalence of type 2 diabetes can easily be seen in general practice so that 2.5% of referrals to general practitioners are due to diabetes. more than half of the patients with type 2 diabetes are left undiagnosed and most of them suffer from its complications ...

Background: Chronic diseases including hypertension have become a global burden in the older population and are associated with increased mortality and decreased quality of life. The persistence of these diseases could increase the comorbidities and impact older patients who need palliative care services to manage the symptom and improve their quality of life.  This study aims to determine the ...