scholarly journals Considering patients’ empowerment in chronic care management: a multidisciplinary approach

2018 ◽  
Vol 18 (s2) ◽  
pp. 20 ◽  
Author(s):  
Caroline Tilkin ◽  
Mélanie De Winter ◽  
Frédéric Ketterer ◽  
Anne-Marie Etienne ◽  
Marc Vanmeerbeek ◽  
...  
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Multidisciplinary Approach ◽  
Chronic Care Management

Chronic Care Management

2019 ◽  
pp. 501-513
Author(s):  
Siobhan Sundel ◽  
David Sundel
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Chronic Care Management

Modernes Diabetes-Management – Von Managed-Care über Disease-Management zum Chronic-Care-Management

2011 ◽  
Vol 9 (06) ◽  
pp. 260-266
Author(s):  
Ulrike Rothe ◽  
Hans-Joachim Verlohren ◽  
Hildebrand Kunath ◽  
Jan Schulze
Keyword(s):  
Managed Care ◽  
Disease Management ◽  
Care Management ◽  
Chronic Care ◽  
Diabetes Management ◽  
Chronic Care Management

Clinical Teams

2019 ◽  
pp. 231-235
Author(s):  
Mark E. Frisse ◽  
Karl E. Misulis
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Healthcare Delivery ◽  
Clinical Informatics ◽  
Care Plan ◽  
Collaborative Activity ◽  
Chronic Care Management ◽  
Complex Interactions ◽  
Acting In Concert

Healthcare delivery is a collaborative activity involving many individuals playing myriad roles. Clinical informatics often emphasizes the role of physicians, nurses, pharmacists, and other staff acting in concert to ensure that key clinical tasks are performed. Only recently have clinical informatics systems begun to model the complex interactions of the team supporting care in the home. Most posthospitalization care and most chronic care management require coordination across teams working from delivery organizations and both the formal and informal teams delivering care in the home. This degree of coordination requires targeted communication and maintenance of both a care record and a care plan.

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