scholarly journals Wellnet Integrated Care Program – supporting chronic disease management through private public partnerships

2018 ◽  
Vol 18 (s1) ◽  
pp. 6
Author(s):  
Eleanor Chew ◽  
Amit Vohra
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Integrated Care ◽  
Chronic Disease Management ◽  
Care Program ◽  
Public Partnerships

Does Clinical Presentation Predict Response to a Nonsurgical Chronic Disease Management Program for Endstage Hip and Knee Osteoarthritis?

2014 ◽  
Vol 41 (11) ◽  
pp. 2223-2231 ◽  
Author(s):  
Jillian P. Eyles ◽  
Barbara R. Lucas ◽  
Jillian A. Patterson ◽  
Matthew J. Williams ◽  
Kate Weeks ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Knee Osteoarthritis ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Care Program ◽  
Management Program ◽  
Knee Oa ◽  
Predictors Of Response ◽  
High Level

Objective.To identify baseline characteristics of participants who will respond favorably following 6 months of participation in a chronic disease management program for hip and knee osteoarthritis (OA).Methods.This prospective cohort study assessed 559 participants at baseline and following 6 months of participation in the Osteoarthritis Chronic Care Program. Response was defined as the minimal clinically important difference of an 18% and 9-point absolute improvement in the Western Ontario and McMaster Universities Arthritis Index global score. Multivariate logistic regression modeling was used to identify predictors of response.Results.Complete data were available for 308 participants. Those who withdrew within the study period were imputed as nonresponders. Three variables were independently associated with response: signal joint (knee vs hip), sex, and high level of comorbidity. Index joint and sex were significant in the multivariate model, but the model was not a sensitive predictor of response.Conclusion.Strong predictors of response to a chronic disease management program for hip and knee OA were not identified. The significant predictors that were found should be considered in future studies.

Connected health and integrated care: Toward new models for chronic disease management

Maturitas ◽  
2015 ◽  
Vol 82 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Ioanna G. Chouvarda ◽  
Dimitrios G. Goulis ◽  
Irene Lambrinoudaki ◽  
Nicos Maglaveras
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Integrated Care ◽  
Chronic Disease Management ◽  
Connected Health ◽  
New Models

Medicare and chronic disease management: integrated care as an exceptional circumstance?

2010 ◽  
Vol 34 (2) ◽  
pp. 152 ◽  
Author(s):  
Michael J. Taylor ◽  
Hal Swerissen
Keyword(s):  
Quality Improvement ◽  
Chronic Disease ◽  
Disease Management ◽  
Diabetic Patient ◽  
Patient Care ◽  
Integrated Care ◽  
Chronic Disease Management ◽  
Hypothetical Patient ◽  
Exceptional Circumstance

Chronic disease represents a significant challenge to the design and reform of the Australian healthcare system. The Medicare Benefits Schedule (MBS) provides a framework of numerous chronic disease management programs; however, their use at the patient level is complex. This analysis of the MBS chronic disease framework uses a hypothetical case study of a diabetic patient (with disease-related complications and a complex psychosocial background) to illustrate the difficulties in delivering appropriate multidisciplinary chronic disease care under the MBS. The complexities at each step – from care planning, service provision, and monitoring and review – are described, as are the intricacies involved in providing patient care under different MBS programs as well as those in the broader health and community care system. As demonstrated by this case study, under certain circumstances the provision of truly integrated care to this hypothetical patient would constitute an ‘exceptional circumstance’ under the MBS. Although quality improvement efforts can improve functioning within the limitations of the current system, system-wide reforms are necessary to overcome complexity and fragmentation. What is known about the topic?Chronic disease management requires optimal health system design to provide appropriate patient care. In Australia, the Medicare Benefits Schedule (MBS) provides chronic disease-focussed programs, but the multitude of available programs and items are administratively complex, overlapping and subject to claiming incompatibilities. What does this paper add? This paper illustrates the complexity of the various MBS programs for chronic disease management using a case study of the potential service response to a single diabetic patient with disease-related complications and a complex psychosocial background. This analysis illustrates the manifold problematic interactions and incompatibilities that may arise in relation to this hypothetical patient. What are the implications for practitioners?Under the current MBS framework, providing patients with optimum chronic disease management requires both clinical and administrative skill on the part of GPs. Time spent on administrative requirements is time away from clinical care. Although quality improvement efforts may improve functioning within the existing system to a certain extent, broader system reforms are necessary to support optimal chronic disease management in Australia.

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