Management of complex chronic disease: Facing the challenges in the Canadian health-care system

Health Services Management Research

Volumn 21, Issue 4, 2008, Pages 228-235

  Tsasis, Peter ^a   Bains, Jatinder ^b  

^a YORK UNIVERSITY   (Canada)

^b Business and Performance Management   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CHRONIC DISEASE; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HOME CARE; PATIENT CARE; PRIORITY JOURNAL; RESOURCE ALLOCATION; REVIEW; ARTICLE; CANADA; HUMAN; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PUBLIC HEALTH; THEORETICAL MODEL;

CANADA; CHRONIC DISEASE; HEALTH CARE REFORM; HOME CARE SERVICES; HUMANS; MODELS, THEORETICAL; NATIONAL HEALTH PROGRAMS; ORGANIZATIONAL INNOVATION; PATIENT CARE TEAM; PATIENT-CENTERED CARE;

EID: 58849101427     PISSN: 09514848     EISSN: None     Source Type: Journal    
DOI: 10.1258/hsmr.2008.008001     Document Type: Review

References (42)

1. CCHS. Canadian Community Health Survey. Statistics Canada, Public Use Microdata File, Statistics Canada 2003
2. EBIC. Economic Burden of Illness in Canada. Policy Research Division, Public Health, Agency of Canada 2002
3. Rapoport J, Jacobs P, Bell NR, Klarenbach S. Refining the measurement of the economic burden of chronic disease in Canada. Chronic Dis Can 2004;25:13-21 (Pubitemid 38691219)
4. Glouberman S, Mintzberg H. Managing the care of health and cure of disease - Part II: integration. Health Care Manage Rev 2001;26:72-86
5. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998;1:2-4
6. Schoen C, Osborn R, Trang Huynh P, et al. Taking the pulse of health care systems: experiences of patients with health problems in six countries. Health Aff 2005;24:w509-25
7. Schoen C, Osborn R, Trang Huynh P, Doty M, Peugh J, Zapert K. On the frontlines of care: primary care doctors' office systems, experiences, and views in seven countries. Health Aff 2006;25:w555-71 (For electronic version, see http://content.healthaffairs.org/ cgi/content/abstract/25/6/w555)
8. Morgan M, Zamora N, Hindmarsh M. An inconvenient truth: a sustainable health care system requires chronic disease prevention and management transformation. Healthc Pap 2007;7:6-23
9. Tsai AC, Morton SC, Mangione CM, Keeler EB. A meta-analysis of interventions to improve care for chronic illnesses. Am J Manage Care 2005;11:478-488 (Pubitemid 41208929)
10. Fleming B, Silver A, Ocepek-Welikson K, Keller D. The relationship between organizational systems and clinical quality in diabetes care. Am J Manag Care 2004;10:934-944 (Pubitemid 40040890)
11. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness JAMA 2002;288:1775-1779
12. Renders CM, Valk GD, Griffin SJ, Wagner EH, Van Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient, and community settings: a systematic review. Diabet Care 2001;24:1821-1833
13. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 2002;48:177-187 (Pubitemid 36158880)
14. Wong J, Gilbert J, Kilburn L. Seeking program sustainability in chronic disease management: the Ontario experience. The Change Foundation, 2004 (For electronic version, see http://www.changefoundation. com/tcf/TCFBul.nsf/ e0f92439bd3e9bb6852565e500033ec6/ 004e81adb65e173c85256e940046509a/$FILE/ Disease%20Management%20Sustainability.pdf)
15. Singh D, Ham C. Improving Care for People With Long-Term Conditions: A Review of UK and International Frameworks. Birmingham: University of Birmingham Press, 2006
16. Anderson G. Chronic conditions: Making the case for ongoing care. Partnership for Solutions. Maryland: John Hopkins University Press, 2004
17. Watt S, Browne G, Gafni A. Community care for people with chronic conditions: an analysis of nine studies of health and social service utilization in Ontario. Milbank Q 1999;77:363-392
18. Dalton J, Garvey J, Samia L. Evaluation of a diabetes disease management home care program. Home Health Care Manage Pract 2006;18:272-285
19. Leff B, Burton L, Mader S, et al. JAGS 2006;54:1355-1363
20. Hoo G. Hospital at home: The right place for the right patient. Respir Care 2007;52:710-712
21. Eustis N, Fischer L. Relationships between home care clients and their workers: Implications for quality of care. Gerontologist 1991;31:447-456
22. Vezina A, Roy R. State-family relations in Quebec from the perspective of intensive home care services for the elderly. J Gerontol Soc Work 1996;25:149-164 (Pubitemid 126106602)
23. Raphael D, ed. Social Determinants of Health: Canadian Perspectives. Toronto: Canadian Scholars Press, 2004
24. Cleary PD, Edgman-Levitan S, Roberts M, et al. Patients evaluate their hospital care: a national survey. Health Aff 1991;10:254-267
25. Cleary PD, Edgman-Levitan S, Walker JD, et al. Using patient reports to improve medical care: a preliminary report from 10 hospitals. Qual Manag Health Care 1993;2:31-38
26. Ontario Health Quality Council. Report on Ontario's Health System. OHQC 2007:15-29 and 77-79
27. Hokenstad A. More care at home: The challenge of creating viable community alternatives to Nursing Home Care. Care Manage J 2005;6:9-14 (Pubitemid 43020028)
28. Shortell SM, Gillies RR, Anderson DA, Erickson KM, Mitchell JB. Remaking Health Care in America: Building Organized Delivery Systems. San Fransisco: Jossey-Bass Publishers, 1996
29. Leatt P, Pink G, Guerriere M. Towards a Canadian model of integrated healthcare. Healthc Pap 2000;1:13-35
30. Kodner DL. Integrated care: meaning, logic, applications, and implications: a discussion paper. Int J Integrated Care 2002;2:1-8
31. Bridgepoint Community Rehab. Bridgepoint Health. Toronto: Internal Statistics Report, 2006
32. Partnership for Solutions. Chronic conditions: Making the case for ongoing care. John Hopkins University Press, 2002:4-8
33. Crawford G, Price S. Team working: palliative care as a model for interdisciplinary practice. MJA 2003;179:S32-4 (Pubitemid 37150557)
34. Singh D. Transforming Chronic Care: Evidence About Improving Care for People With Long-term Conditions. Birmingham: University of Birmingham Press, 2006
35. Interprofessional Care Steering Committee. Interprofessional Care: A Blueprint for Action in Ontario. Health Force Ontario 2007:11-16 (For electronic version, see http://www.healthforceontario.ca/upload/ en/whatishfo/ ipc%20blueprint%20final.pdf)
36. Frock A, Barnes P. The model home care team. Home Health Care Manage Pract 2003;15:300-304
37. Health Council of Canada. Why health care renewal matters: learning from Canadians with chronic health conditions. December 2007, See healthcouncilcanada.ca
38. Hanna A. Interprofessional Care (OMA Policy Paper). Ontario Med Rev 2007;74:1-8
39. Shortell SM, Gillies R, Devers K. Reinventing the American Hospital. Milbank Q 1995;73:131-160
40. Lapidos S, Christiansen K, Rothschild S, Halstead L. Creating interdisciplinary training for health care professionals: the challenges and opportunities for home health care. Home Health Care Manage Pract 2002;14:338-343
41. Wagner E. The role of patient care teams in chronic disease management. BMJ 2000;320:569-572 (Pubitemid 30175806)
42. The Change Foundation. Quality improvement in home and community care: Research agenda. The Change Foundation 2007:1-5 (For electronic version, see http:// www.changefoundation.ca/docs/QIResearchAgenda. doc)