Care and treatment for people with chronic conditions: What can we learn from the HIV experience? A health systems perspective

2012 ◽  
Keyword(s):  
Health Systems ◽  
Chronic Conditions ◽  
Systems Perspective ◽  
Care And Treatment

A Health Systems Perspective on the Mission Model for Cleft Lip and Palate Surgery

2015 ◽  
Vol 26 (4) ◽  
pp. 1079-1083 ◽  
Author(s):  
Lucas Cummings Carlson ◽  
Kristin Ward Hatcher ◽  
Richard Vanderburg ◽  
Ruben Eduardo Ayala ◽  
Charles Edward Mbugua Kabetu ◽  
...  
Keyword(s):  
Health Systems ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Systems Perspective

scholarly journals Person-centred care in complementary medicine for individuals with chronic conditions in Australia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Foley ◽  
A Steel ◽  
J Adams
Keyword(s):  
Public Health ◽  
Complementary Medicine ◽  
Health Systems ◽  
Chronic Conditions ◽  
Clinical Care ◽  
Medical Doctors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Burden ◽  
Public Health Systems

Abstract Background Increasing chronic condition diagnoses burden public health systems, individuals and communities. The duration and complexity of chronic conditions require ongoing, multifaceted care - such as person-centred care (PCC) - to address the individual needs and quality of life for patients. Many patients with chronic conditions seek additional care outside mainstream medicine, often consulting complementary medicine (CM) practitioners. This study examines the extent of PCC being experienced by patients with chronic conditions who consult CM practitioners. Methods Cross-sectional survey (n = 191), conducted nationally, November 2018 to March 2019, in clinics of the five CM professions most commonly consulted by individuals with chronic conditions in Australia (massage, chiropractic, osteopathy, acupuncture, naturopathy). Participants with chronic conditions (n = 153) were surveyed about experiences of PCC during CM consultation, and regarding consultation with medical doctors, using four validated measures. Results During consultation with CM practitioners, patient perceptions of PCC were consistently high. Ratings of PCC were consistently higher for consultations with any CM practitioners (summary mean 3.33) than consultations with medical doctors (summary mean 2.95). The highest mean scores for PCC were reported by patients of naturopaths (summary mean 4.04). Variations in perceived PCC for different items between professions indicate nuance in the experience of consultation across different CM professions. Conclusions This study indicates PCC is characteristic of CM consultation, which may reflect CM philosophies such as holism. CM practitioners may present an existing resource of PCC. Further attention should be given to CM professions regarding the potential to address unmet needs of individuals with chronic conditions, and subsequently to better manage the public health burden associated with chronic conditions. Key messages Person-centred care appears to be a consistent characteristic of complementary medicine clinical care for individuals with chronic conditions. Due to rising rates of chronic conditions and the associated burden on public health systems, complementary medicine professions should be considered as a resource to optimise chronic illness care.

Cost-effectiveness of Diabetes Self-management Programs in Community Primary Care Settings

2009 ◽  
Vol 35 (5) ◽  
pp. 761-769 ◽  
Author(s):  
Carol A. Brownson ◽  
Thomas J. Hoerger ◽  
Edwin B. Fisher ◽  
Kerry E. Kilpatrick
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Simulation Model ◽  
Health Systems ◽  
Self Management ◽  
Systems Perspective ◽  
Primary Care Settings ◽  
Life Years ◽  
The Cost

Purpose The purpose of this study is to estimate the cost-effectiveness of diabetes self-management programs in real-world community primary care settings. Estimates incorporated lifetime reductions in disease progression, costs of adverse events, and increases in quality of life. Methods Clinical results and costs were based on programs of the Diabetes Initiative of the Robert Wood Johnson Foundation, implemented in primary care and community settings in disadvantaged areas with notable health disparities. Program results were used as inputs to a Markov simulation model to estimate the long-term effects of self-management interventions. A health systems perspective was adopted. Results The simulation model estimates that the intervention does reduce discounted lifetime treatment and complication costs by $3385, but this is more than offset by the $15 031 cost of implementing the intervention and maintaining its effects in subsequent years. The intervention is estimated to reduce long-term complications, leading to an increase in remaining life-years and quality-adjusted life-years (QALYs). The incremental cost-effectiveness ratio is $39 563/QALY, well below a common benchmark of $50 000/QALY. Sensitivity analyses tested the robustness of the model’s estimates under various alternative assumptions. The model generally predicts acceptable cost-effectiveness ratios. Conclusions Self-management programs for type 2 diabetes are cost-effective from a health systems perspective when the cost savings due to reductions in long-term complications are recognized. These findings may justify increased reimbursement for effective self-management programs in diverse settings.

scholarly journals Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review

2017 ◽  
Vol 32 (10) ◽  
pp. 1466-1475 ◽  
Author(s):  
Grace Chan ◽  
Ilana Bergelson ◽  
Emily R Smith ◽  
Tobi Skotnes ◽  
Stephen Wall
Keyword(s):  
Systematic Review ◽  
Health Systems ◽  
Kangaroo Mother Care ◽  
Systems Perspective ◽  
Barriers And Enablers
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