Multiple Chronic Conditions: A Strategic Framework Optimum Health and Quality of Life for Individuals with Multiple Chronic Conditions

2010 ◽  
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Strategic Framework

scholarly journals The HHS Strategic Framework on Multiple Chronic Conditions: Genesis and Focus on Research

2013 ◽  
Vol 3 (2) ◽  
pp. 22-29 ◽  
Author(s):  
Anand K. Parekh ◽  
Richard A. Goodman
Keyword(s):  
Quality Of Life ◽  
Social Services ◽  
Chronic Conditions ◽  
Cost Driver ◽  
Multiple Chronic Conditions ◽  
Health Issues ◽  
Strategic Framework ◽  
Department Of Health ◽  
The Usa

Among the 21st century's major emerging health issues, one of the most critical is the increasing prevalence of individuals with comorbidities, or multiple chronic conditions (MCCs), and the myriad challenges this poses for public health, healthcare, social services, and other sectors. Given the increasing prevalence of individuals with MCCs and the paramount role of MCCs as a healthcare cost driver, in 2008 the U.S. Department of Health and Human Services (HHS) launched an initiative to strengthen efforts by the HHS to address the effects of MCCs on health status, quality of life, and cost. In this paper, we first provide an overview of the HHS initiative with a particular focus on the approach used in developing the initiative's centerpiece, the HHS Strategic Framework on Multiple Chronic Conditions; we next describe progress in implementing one of the framework's four major goal areas (Goal 4) on facilitating research to fill knowledge gaps about, and interventions and systems to benefit, individuals with MCCs; and we conclude by suggesting additional potential priorities for research on MCCs. Although considerable research on MCCs has been reported over the past decade, the HHS Strategic Framework's goal on research provides a set of priority areas and a plan for systematically strengthening the evidence and information foundation necessary to address the challenges of MCCs in the USA. More broadly, the Strategic Framework provides a roadmap to help improve coordination between HHS operating divisions and enhance collaboration with external stakeholders to improve the quality of life for those with MCCs.

scholarly journals Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life

2011 ◽  
Vol 126 (4) ◽  
pp. 460-471 ◽  
Author(s):  
Anand K. Parekh ◽  
Richard A. Goodman ◽  
Catherine Gordon ◽  
Howard K. Koh ◽  
Keyword(s):  
Quality Of Life ◽  
Health Outcomes ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Strategic Framework

Illness Perceptions, Coping Strategies, and Quality of Life in People With Multiple Chronic Conditions

2020 ◽  
Vol 52 (2) ◽  
pp. 145-154 ◽  
Author(s):  
Cheng Cheng ◽  
Cong‐Yan Yang ◽  
Kerry Inder ◽  
Sally Wai-Chi Chan
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Chronic Conditions ◽  
Illness Perceptions ◽  
Multiple Chronic Conditions

scholarly journals A Web-Based eHealth Intervention to Improve the Quality of Life of Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Controlled Trial

10.2196/25175 ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. e25175
Author(s):  
David H Gustafson Sr ◽  
Marie-Louise Mares ◽  
Darcie C Johnston ◽  
Jane E Mahoney ◽  
Randall T Brown ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Chronic Conditions ◽  
Health Care Use ◽  
Multiple Chronic Conditions ◽  
Secondary Outcomes ◽  
Ehealth Intervention

Background Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple conditions (eg, diabetes and osteoarthritis) and account for more than 90% of Medicare spending. Patients with MCCs also experience lower quality of life and worse medical and psychiatric outcomes than patients without MCCs. In primary care settings, where MCCs are generally treated, care often focuses on laboratory results and medication management, and not quality of life, due in part to time constraints. eHealth systems, which have been shown to improve multiple outcomes, may be able to fill the gap, supplementing primary care and improving these patients’ lives. Objective This study aims to assess the effects of ElderTree (ET), an eHealth intervention for older adults with MCCs, on quality of life and related measures. Methods In this unblinded study, 346 adults aged 65 years and older with at least 3 of 5 targeted high-risk chronic conditions (hypertension, hyperlipidemia, diabetes, osteoarthritis, and BMI ≥30 kg/m2) were recruited from primary care clinics and randomized in a ratio of 1:1 to one of 2 conditions: usual care (UC) plus laptop computer, internet service, and ET or a control consisting of UC plus laptop and internet but no ET. Patients with ET have access for 12 months and will be followed up for an additional 6 months, for a total of 18 months. The primary outcomes of this study are the differences between the 2 groups with regard to measures of quality of life, psychological well-being, and loneliness. The secondary outcomes are between-group differences in laboratory scores, falls, symptom distress, medication adherence, and crisis and long-term health care use. We will also examine the mediators and moderators of the effects of ET. At baseline and months 6, 12, and 18, patients complete written surveys comprising validated scales selected for good psychometric properties with similar populations; laboratory data are collected from eHealth records; health care use and chronic conditions are collected from health records and patient surveys; and ET use data are collected continuously in system logs. We will use general linear models and linear mixed models to evaluate primary and secondary outcomes over time, with treatment condition as a between-subjects factor. Separate analyses will be conducted for outcomes that are noncontinuous or not correlated with other outcomes. Results Recruitment was conducted from January 2018 to December 2019, and 346 participants were recruited. The intervention period will end in June 2021. Conclusions With self-management and motivational strategies, health tracking, educational tools, and peer community and support, ET may help improve outcomes for patients coping with ongoing, complex MCCs. In addition, it may relieve some stress on the primary care system, with potential cost implications. Trial Registration ClinicalTrials.gov NCT03387735; https://www.clinicaltrials.gov/ct2/show/NCT03387735. International Registered Report Identifier (IRRID) DERR1-10.2196/25175

Private health insurance and quality of life: perspectives of older Australians with multiple chronic conditions

2012 ◽  
Vol 18 (3) ◽  
pp. 212 ◽  
Author(s):  
Yun-Hee Jeon ◽  
Annie Black ◽  
Janelle Govett ◽  
Laurann Yen ◽  
Ian McRae
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Insurance ◽  
Older People ◽  
Chronic Conditions ◽  
Private Health Insurance ◽  
Multiple Chronic Conditions ◽  
Financial Pressure ◽  
Health Related

A qualitative study was conducted to explore in-depth issues relating to the health costs of chronic illness as identified in a previous study. A key theme that emerged from interviews carried out was the benefits and challenges of private health insurance (PHI) membership, and choices older Australians with multimorbidity make in accessing health services, with and without PHI. This is the focus of this paper. Semistructured interviews were conducted with 40 older people with multiple chronic conditions. Data were analysed using content analysis. Key motivators for maintaining PHI included: fear of an inability to access timely health care; the opportunity to exercise choice in service provider; a belief of being ‘better off’ both medically and financially, which was often ill-founded; and the core values of self reliance and independence. Most described financial pressure caused by rising PHI premiums as well as other out-of-pocket health related expenses. Many older people who can ill afford PHI still struggle to maintain it, potentially at the cost of their quality of life, based on beliefs about costs of health care that they have never properly assessed. The findings highlight the degree to which people whose resources are constrained are prepared to go to maintain access to private hospital care. Attention should be given to assisting older people to make informed and valid choices of health insurance derived from the facts, rather than being based on fear and assumptions.

scholarly journals TIME PERSPECTIVE AND QUALITY OF LIFE IN INDIVIDUALS WITH MULTIPLE CHRONIC CONDITIONS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 134-134
Author(s):  
P. Gellert ◽  
J. Ziegelmann ◽  
M. Steko ◽  
C. Ernsting ◽  
J. Wienert ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Time Perspective ◽  
Multiple Chronic Conditions
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