Complex adaptive chronic care

Journal of Evaluation in Clinical Practice

Volumn 15, Issue 3, 2009, Pages 571-577

  Martin, Carmel ^a,d   Sturmberg, Joachim ^b,c  

^a NORTHERN ONTARIO SCHOOL OF MEDICINE   (Canada)

^b MONASH UNIVERSITY   (Australia)

^c UNIVERSITY OF NEWCASTLE   (Australia)

^d NONE   (Canada)

Author keywords

Chronic care; Chronic disease; Chronic illness; Complexity; Framework; Health system; Primary care

Indexed keywords

CHRONIC DISEASE; COMMUNITY; EMPOWERMENT; FAMILY; HEALING; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HUMAN; LEADERSHIP; OUTCOME ASSESSMENT; PATIENT CARE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REVIEW; SELF CARE; SUPPORT GROUP;

CHRONIC DISEASE; COMMUNITY NETWORKS; DELIVERY OF HEALTH CARE; HUMANS; MODELS, THEORETICAL; POLICY MAKING; POWER (PSYCHOLOGY); PRIMARY HEALTH CARE;

EID: 66249100235     PISSN: 13561294     EISSN: 13652753     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2008.01022.x     Document Type: Review

References (51)

1. WHO (2002) Innovative Care for Chronic Conditions: Building Blocks for Action. Geneva : WHO. Available at: http://www.who.int/diabetesactiononline/ about/icccreport/en/index.html (last accessed 15 July 2007).
2. Solberg, L. I., Crain, A. L., Sperl-Hillen, J. M., Hroscikoski, M. C., Engebretson, K. I. O'Connor, P. J. (2006) Care quality and implementation of the Chronic Care Model: a quantitative study. Annals of Family Medicine, 4 (4 310 316. (Pubitemid 44198458)
3. WHO (2002) Innovative Care for Chronic Conditions: Building Blocks for Action. Geneva : WHO. Available from http://www.who.int/chp/knowledge/ publications/icccglobalreport.pdf (accessed 28 April 2009).
4. Improving Chronic Illness Care (2007) The Chronic Care Model. Available at: http://www.improvingchroniccare.org/ (last accessed 15 July 2007).
5. Tsai, A., Morton, S. C., Mangione, C. Keeler, E. A. (2005) Meta-analysis of interventions to improve care for chronic illnesses. American Journal of Managed Care, 11 (8 478 488. (Pubitemid 41208929)
6. NHS Confederation and the BMA (2006) Quality and outcomes framework. Available at: http://www.bma.org/ap.nsf/AttachmentsByTitle/PDFQOF2006/ $FILE/Quality+and+outcomes+framework+guidance+-+Feb+2006.pdf (last accessed 21 July 2007).
7. Warsi, A., Wang, P. S., LaValley, M. P., Avorn, J. Solomon, D. H. (2004) Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Archives of Internal Medicine, 164 (15 1641 1649. (Pubitemid 39037943)
8. Barr, V., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D. Salivaras, S. (2003) The expanded Chronic Care Model: an integration of concepts and strategies from population health promotion and the Chronic Care Model. Hospital Quarterly, 7 (1 73 82.
9. Martin, C. M. (2007) Chronic disease and illness care: adding principles of family medicine to address ongoing health system redesign. Canadian Family Physician Medecin de Famille Canadien, 53 (12 2086 2091.
10. Charon, R. W. P. (2008) The art of medicine. narrative evidence based medicine. Lancet, 371, 296 297.
11. Martin, C. (1999) The Care of Chronic Illness in General Practice, PhD Thesis. Australian National University, Canberra.
12. Sturmberg, J., Martin, C. Moes, M. (2007) Health at the Centre of Health Systems Reform - How Philosophy can Inform Policy. Perspectives in Biology and Medicine, in press.
13. Martin, D. Sturmberg, J. P. (2007) A complexity model for primary care reforms. In Complexity, Science and Society (eds J. Bogg Robert Geyer). Oxford : Radcliffe Publishing.
14. Sturmberg, J. P. Martin, C. M. Understanding primary care as a complex multi-layered system. The vortex model. In Complexity, Science and Society (eds J. Bogg Robert Geyer). Oxford : Radcliffe Publishing.
15. Heylighen, F. (2008) Complexity and Self-organization. In Encyclopedia of Library and Information Sciences (eds M. Bates M. N. Maack). London : Taylor & Francis.
16. Pan American Health Organization, World Health Organization (2005) Regional declaration on the new orientations for primary health care (Declaration of Montevideo). Available at: http://www.paho.org/English/GOV/CD/ cd46-decl-e.pdf (last accessed 22 December 2008).
17. WHO (2003) Health Systems Performance Assessment: Debates, Methods and Empiricism. Geneva : World Health Organisation.
18. Lalonde, M. (1974). A New Perspective on the Health of Canadians. Ottawa : The Government of Canada. Available at: http://www.hc-sc.gc.ca/hcs-sss/alt- formats/hpb-dgps/pdf/pubs/1974-lalonde/lalonde-e.pdf (last accessed 15 July 2007).
19. Marmot, M. (1999) Socioeconomic status and health in industrial nations: social, psychological and biological pathways. Annals of the New York Academy of Sciences, 896 (1 1 2.
20. Sturmberg, J. (2007). The Foundations of Primary Care. Daring to be Different. Oxford, San Francisco : Radcliffe Medical Press.
21. Walker, C. (2001) Recognising the changing boundaries of illness in defining terms of chronic illness: a prelude to understanding the changing needs of people with chronic illness. Australian Health Review, 24 (2 207 214.
22. Martin, C. (2003) Chronic illness care in general practice - the practitioner-patient relationship. In Chronic Disease: New Perspectives and New Directions, Chapter 5 (eds C. Walker, C. Peterson, N. Millman C. Martin pp. 67 81. Melbourne : Tertiary Press.
23. Department of Health (2006) Quality and Outcomes Framework Guidance. Available from: http://www.dh.gov.uk/en/Healthcare/Primarycare/ Primarycarecontracting/QOF/DH-4125653 (accessed 5 May 2009).
24. Parchman, M. L., Pugh, J. A., Wang, C. P. Romero, R. L. (2007) Glucose control, self-care behaviors, and the presence of the chronic care model in primary care clinics. Diabetes Care, 30 (11 2849 2854. (Pubitemid 350083131)
25. Martin, C., Robinson, R. Peterson, C. (2003) The Experiences of Care of Chronic Illness in General Practice over a 10 year Period. Focus Groups of ACT self-help group members. Melbourne : Report to the RACGP Family Medical Care, Education and Research Foundation, Royal Australian College of General Practitioners.
26. QOF Results Publication Reveals Quality of Care (2005) E-Health insider. Available at: http://www.e-health-insider.com/news/item.cfm?ID=1403 (last accessed 31 August 2005).
27. Mechanic, D. (1996) Failure of health care reform in the United States of America. Journal of Health Services Research & Policy, 1, 4 9.
28. Gulliford, M. C., Ashworth, M., Robotham, D. Mohiddin, A. (2007) Achievement of metabolic targets for diabetes by English primary care practices under a new system of incentives. Diabetic Medicine, 24 (5 505 511. (Pubitemid 46669312)
29. Ashworth, M. Armstrong, D. (2006) The relationship between general practice characteristics and quality of care: a national survey of quality indicators used in the UK Quality and Outcomes Framework, 2004-2005. BMC Family Practice, 7 (1 68.
30. Davey Smith, G. (ed 2003) Health Inequalities: Lifecourse Approaches. Bristol : The Policy Press.
31. Wagner, E. H., Austin, B. T. Von Korff, M. (1996) Improving outcomes in chronic illness. Managed Care Quarterly, 4 (2 12 25.
32. Gulliford, M., Ashworth, M., Robotham, D. Mohiddin, A. (2007) Achievement of metabolic targets for diabetes by English primary care practices under a new system of incentives. Diabetic Medicine, 24 (5 505 511. (Pubitemid 46669312)
33. Leykum, L. K., Pugh, J., Lawrence, V., Parchman, M., Noel, P. H., Cornell, J. McDaniel, R. (2007) Organizational interventions employing principles of complexity science have improved outcomes for patients with type II diabetes. Implemention Science, 2 (28 28.
34. Martin, C. M. Kaufman, T. (2007) Addressing Unfinished Business in Primary Health Care (PHC). A Shared Framework Across Canada is Needed to Implement PAHO/WHO 'New Orientations' for Adaptive PHC-Based Health Systems. A Commissioned Report for the Canadian Alliance of Community Health Centre Associations; Primary Health CareTransition Fund (PHCTF) National Evaluation Strategy. Ottawa : Northern Ontario School of Medicine.
35. Shaughnessy, A., Slawson, D. Becker, L. (1998) Clinical jazz: harmonizing clinical experience and evidence-based medicine. Journal of Family Practice, 47 (6 425 428. (Pubitemid 29011120)
36. Capra, F. (1996) The Web of Life. London : HarperCollins Publishers.
37. Hodges, S., Ferreira, K., Israel, N. Mazza, J. (2006). Strategies for System of Care Development: Making Change in Complex Systems. Tampa, FL : Research and Training Center for Children's Mental Health, Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute. Available at: http://rtckids.fmhi.usf.edu/cssi/default.cfm (last accessed 237 260.
38. Illich, I. (1976) Limits to Medicine. Medical Nemesis: The Expropriation of Health. London : Marion Boyars Book.
39. Martin, C. Rohan, B. (2002) Chronic illness care as a balancing act. A qualitative study. Australian Family Physician, 31 (1 55 59.
40. College of Family Physicians Canada (2007) Four Principles of Family Medicine. Available from: http://www.cfpc.ca/English/cfpc/about%20us/principles/ default.asp?5=1 (accessed 5 May 2009).
41. McWhinney, I. A. (1997) Textbook of Family Medicine, 2nd edn. New York : Oxford University Press.
42. Martin, C. M. (2007) Chronic disease and illness care: adding principles of family medicine to address ongoing health system redesign. Canadian Family Physician, 53 (12 2086 2091.
43. Wallerstein, N. (2006) What is the Evidence on Effectiveness of Empowerment to Improve Health Copenhagen : WHO Regional Office for Europe. Health Evidence Network Report. Available at: http://www.euro.who.int/Document/ E88086.pdf (last accessed 4 April 2007).
44. Kareiva, P. Marvier, M. (2007) A tale of two strategies. In Conservation for the People. p. 52. New York : Scientific American. Available from: http://www.compassonline.org/pdf-files/Conservation-for-the-People.pdf (accessed 5 May 2009).
45. Kurtz, C. Snowden, D. (2003) The new dynamics of strategy: sense-making in a complex and complicated world. IBM Systems Journal, 42, 462 483.
46. Institute of Medicine (2001) Unintended Consequences of Health Policy Programs and Policies: Workshop Summary. Washington, D.C. : National Academy Press. Available from: http://books.nap.edu/openbook.php?record-id= 10192&page=R1 (accessed 28 April 2009).
47. Pizzocaro, S. (2000) Complexity, uncertainty, adaptability: reflections around design research. http://www.designresearchsociety.org/downloads/ proceedings/ded-laclusaz-2000/Pizzocaro.pdf (last accessed 30 September 2007).
48. Pizzocaro, S. (2002) Re-orienting PhD education in industrial design: some issues arising from the experience of a PhD programme revision. Art, Design & Communication in Higher Education, 1 (3 173 182.
49. Glouberman, S. (2001) Towards a New Perspective on Health Policy: Final Report. Ottawa : Canadian Policy Research Networks.
50. Martin, C. Kaufman, T. (2007) Addressing Unfinished Business in Primary Health Care (PHC). A Shared Framework Across Canada is Needed to Implement PAHO/WHO 'New Orientations' for Adaptive PHC-Based Health Systems. Ottawa : A Commissioned Report for the Canadian Alliance of Community Health Centre Associations; Primary Health Care Transition Fund (PHCTF) National Evaluation.
51. Ballem, P. Guaranteeing accountability for quality care. Healthcare Papers, 7 (4 60 65.