Publications
- Caring for People with Chronic Conditions: A Health System Perspective
- The complex nature of many chronic diseases, which affect people in many different ways, requires a multifaceted response that will meet the needs of the individual patient. Yet while there is agreement that the traditional relationship between an individual patient and a single doctor is inappropriate, there is much less agreement about what should replace it.
- Estudios sobre la calidad de vida de pacientes afectados por derminadas patologías
- Este estudio ha sido realizado por IMS Health para la Agencia de Calidad dentro del proyecto “Estudio para la mejora del conocimiento sobre la calidad de vida de los pacientes y evaluación de los servicios sanitarios”.
- Developmental origins of health and disease: reducing the burden of chronic disease in the next generation.
Despite a wealth of underpinning experimental support, there has been considerable resistance to the concept that environmental factors acting early in life (usually in fetal life) have profound effects on vulnerability to disease later in life, often in adulthood.
- Geriatrics index of comorbidity was the most accurate predictor of death in geriatric hospital among six comorbidity scores.
OBJECTIVES: To compare the abilities of six validated comorbidity indices (Charlson index, cumulative illness rating scale [CIRS], index of coexistent diseases, Kaplan scale, geriatrics index of comorbidity [GIC], and chronic disease score) to predict adverse hospitalization outcomes (death during hospitalization, length of stay, and institutionalization). STUDY DESIGN AND SETTING: Prospective cohort of 444 elderly inpatients (mean age 85.3) was randomly selected from Geneva geriatric hospital. RESULTS: In univariate analyses, GIC was the best predictor ...
- Evaluation of a rural chronic disease self-management program
INTRODUCTION: Internationally, the prevalence of long-term health conditions is at epidemic proportions. Australia is no exception. The Australian Government's 'Better Health Initiative' has 5 key strategies to build better health care, one of which is the adoption of self-management and self-management support. Self-management allows people to manage their condition and the consequences it brings to their lives in partnership with their health providers. The purpose of this article was to report both the process ...
- Neighborhoods and Chronic Disease Onset in Later Life.
Objectives. To strengthen existing evidence on the role of neighborhoods in chronic disease onset in later life, we investigated associations between multiple neighborhood features and 2-year onset of 6 common conditions using a national sample of older adults.Methods. Neighborhood features for adults aged 55 years or older in the 2002 Health and Retirement Study were measured by use of previously validated scales reflecting the built, social, and economic environment. Two-level random-intercept logistic models predicting ...
- Teaching medical students about chronic disease: patient-led teaching in rheumatoid arthritis.
OBJECTIVES: To evaluate the effectiveness of patient-led teaching compared with doctor-led teaching, regarding the impact of chronic disease (rheumatoid arthritis [RA]). METHODS: A set of learning objectives regarding the impact of RA on patient and family was designed. Students (n = 42) attached to the academy for their musculoskeletal diseases module were randomized to teaching either by a doctor or a patient. Outcome was assessed using a knowledge test, feedback forms and qualitative written interview. RESULTS ...
- Assessing Medication Exposures and Outcomes in the Frail Elderly: Assessing Research Challenges in Nursing Home Pharmacotherapy.
BACKGROUND:: Large administrative datasets such as Medicare and Medicaid claims have much potential utility in clinical and comparative effectiveness (CE) studies. Among their advantages are the inclusion of clinically heterogeneous populations, without exclusions typical in clinical trials; the ability to study extremely large study populations with power to examine differential outcomes across individual drugs, treatment effect modification, and the risk of uncommon outcomes. However, claims data by themselves are subject to many limitations, notably, in ...
- Patients with Complex Chronic Diseases: perspectives on supporting self-management.
A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care. A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations. The literature on how to best support self-management efforts in those with CCD is lacking. With this paper, the authors present the case of an individual with diabetes and end-stage ...
- Re-centering diabetes care through community: the iHealthSpace example.
Wagner's modern construct for chronic care recognizes the primacy of 'productive interactions' among the patient, their personal community and the care provider team. No longer the only locus of care, the health system should operate within the context of and have access to the people and resources of the larger community involved in the patient's care. Shared medical visits in the care of patients with diabetes serve as a model for collaborative care ...
Información de apoyo a gestores, investigadores, profesionales de la salud y a pacientes y cuidadoras, que trabajan en la en la gestión de Enfermedades Crónicas Complejas, e incluye publicaciones como artículos, informes, modelos de gestión, estudios y legislación relacionados con la materia. En esta sección se incluyen algunas publicaciones que pueden no ser de libre acceso (propiedad intelectual), y cuya inclusión en OPIMEC está basada en el derecho de cita y con referencia a la fuente original.
Esta sección se contempla como un repositorio de conocimiento abierto y en la que todos los miembros de OPIMEC pueden añadir nuevas publicaciones. Por favor para cualquier duda o sugerencia pónganse en contacto con el equipo editorial. Asimismo podrá acceder a la suscripción RSS de publicaciones si es de su interés.
Para que su publicación aparezca en OPIMEC sólo tiene que registrarse y formará parte de este esfuerzo conjunto con los/as mejores profesionales internacionales en la materia.
