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Advancing the chronic care road map: a contemporary overview.
Sara Ahmed1, Amede Gogovor, Mylene Kosseim
1McGill University, Montreal, Quebec. sara.ahmed@mcgill.ca
Healthcare Quarterly (Toronto, Ont.)
|June 5, 2010
Summary
Community-based chronic disease management and prevention (CDMP) programs in Canada show success through partnerships, inter-professional care, and shared data. Key improvements include stakeholder engagement, evidence for team care, and better information systems.
Area of Science:
- Health Services Research
- Public Health
- Chronic Disease Management
Background:
- Community-based chronic disease management and prevention (CDMP) programs are crucial for healthcare.
- Assessing and advancing these models requires understanding current practices and identifying areas for improvement.
Purpose of the Study:
- To review Canadian CDMP programs and identify common characteristics of successful initiatives.
- To pinpoint opportunities for enhancing stakeholder engagement, team care efficacy, information systems, and patient/caregiver support.
Main Methods:
- A review of contemporary Canadian CDMP programs.
- Inclusion of a participatory audience comprising administrators, academics, providers (professional and non-professional), and patients.
Main Results:
- Successful CDMP programs feature community partnerships, aligned goals, inter-professional and non-professional care (including self-management), measured/shared outcomes, and leadership.
- Improvement areas include enhanced stakeholder engagement, more evidence for team care, user-friendly information systems, and better patient/caregiver education and resources.
Conclusions:
- Immediate actions include a communication plan and a standardized survey of CDMP programs.
- Longer-term needs involve more inter-professional education and practical information systems for all stakeholders.
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