Ashoo Grover|Ashish Joshi
An Overview of Chronic Disease Models: A Systematic Literature Review
Government of India|Indian Council of Medical Research|Center for Global Health|University of Nebraska Medical Center
aimsthe objective study examine various existing chronic disease models elements role management diabetes chronic obstructive pulmonary disease copd cardiovascular diseases cvdmethods literature search performed using pubmed cinhal period january 2003march 2011following key terms used either single combination chronic disease model diabetes mellitus copd cvdresults total 23 studies included final analysismajority studies usbasedfive chronic disease models included chronic care model ccm improving chronic illness care icic innovative care chronic conditions iccc stanford model sm community based transition model cbtmccm studied modelelements studied included delivery system design selfmanagement support 87 clinical information system decision support 57 health system organization 52elements including center care patient family 13 patient safety 4 community policies 4 built integrated health care 4 remote patient monitoring 4 well studiedother elements including support paradigm shift manage political environment align sectoral policies health use healthcare personnel effectively support patients communities emphasize prevention identify patient specific concerns related transition process health literacy visits treatments also well studied existing literatureconclusions unclear extent results generated applicable different populations locations therefore area future researchfuture studies also needed test chronic disease models settings racially ethnically representative patients receive chronic carefuture program development also include information barriers including transportation issues finances lack services