Improving Care for Chronic Conditions

"The goal of this project is to document the current range of chronic care management services, identify best practices, and elicit industry trends. We also attempt to identify factors in the plans’ operating environment that limit their ability to optimize chronic care programs."

Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs
S Mattke, T Mengistu, L Klautzer, EM Sloss, RH Brook
RAND Corporation
2015

Read more here.

Patient empowerment: for better quality, more sustainable health services globally

"This report highlights some of the lessons and examples from this increasingly global patient empowerment movement. The primary focus is on the role of individuals in their own healthcare, although overlap with the equally important issues of public involvement in health and empowerment in social care are recognised."

Patient empowerment: for better quality, more sustainable health services globally

All Party Parliamentary Groups on Global Health; HIV/AIDs; Population, Development and Reproductive Health; Global Tuberculosis; and Patient and Public Involvement in Health and Social CareMay 2015

Read more here.

Providing integrated care for older people with complex needs

"This report synthesises evidence from seven case study programmes, each from a different country, that are successfully delivering integrated health and social care for older people with complex needs. The aim is to identify lessons for policy-makers and service providers to help them improve how care is designed and co-ordinated."

Providing integrated care for older people with complex needs: Lessons from seven international case studies
Nick Goodwin, Anna Dixon, Geoff Anderson, Walter Wodchis
The King's Fund
January 2014

Read more here.

Housing and public health in England

"Public health colleagues may find it helpful to reflect on the realities of working in local authority housing teams, where life is not necessarily easy."

Under one roof? Housing and public health in England
Ed Harding
Housing Learning and Improvement Network
December 2013

Read more here.

Patient initiated clinics for patients with chronic or recurrent conditions managed in secondary care

"Patient initiated clinics fit the models of care suggested by policy makers and so further research into long term outcomes for patients and service use in this area of practice is both relevant and timely."

Patient initiated clinics for patients with chronic or recurrent conditions managed in secondary care: a systematic review of patient reported outcomes and patient and clinician satisfaction
R Whear, AK Abdul-Rahman, J Thompson-Coon, K Boddy, MG Perry, K Stein
BMC Health Services Research, 2013, 13:501

Read more here.

Co-ordinated care for people with complex chronic conditions

"Based on a comparative analysis of five UK-based case studies of care co-ordination programmes for people with long-term and complex chronic conditions, this report examines key lessons and markers for success in the ‘how’ of care co-ordination that might be transferable to different contexts and settings."

Co-ordinated care for people with complex chronic conditions: key lessons and markers for success
N Goodwin, L Sonola, V Thiel, DL Kodner
The King's Fund
October 2013

Read more here.

Delivering better services for people with long-term conditions

"The management of care for people with long-term conditions should be proactive, holistic, preventive and patient-centred."

Delivering better services for people with long-term conditions
A Coulter, S Roberts, A Dixon
The King's Fund
October 2013

Read more here.

The work of commissioning: a multisite case study of healthcare commissioning in England's NHS

"Commissioners adopting an incremental approach to service change in defined and manageable areas of work appeared to be more successful in terms of delivering planned changes in service delivery than those attempting to bring about wide-scale change across complex systems."

The work of commissioning: a multisite case study of healthcare commissioning in England's NHS
SE Shaw, JA Smith, A Porter, R Rosen, N Mays
BMJ Open, 2013, 3:e003341

Read more here.

Management of long term conditions

"Our analysis concluded that without unprecedented, sustained increases in health service productivity, including more effective management of chronic conditions, funding for the NHS in England will need to increase in real terms between 2015/16 and 2021/22 to avoid cuts to the service or a fall in quality."

Management of long term conditions: Health Committee inquiry submission: Parliamentary Briefing
Nuffield Trust
May 2013

Read more here.

Patient empowerment in long-term conditions

"Although many measures of empowerment exist, no measure has been developed specifically for patients with long-term conditions in the primary care setting. This study presents preliminary data on the development and validation of such a measure."

Patient empowerment in long-term conditions: development and preliminary testing of a new measure
N Small, P Bower, CA Chew-Graham, D Whalley, J Protheroe
BMC Health Services Research, 2013, 13:263

Read more here.

Physical activity: brief advice for adults in primary care

"Inactivity costs the NHS an estimated at £1.06 billion based on national cases of CHD, stroke, diabetes, colorectal cancer and breast cancer (all conditions that are potentially preventable or manageable through physical activity)."

Physical activity: brief advice for adults in primary care
NICE public health guidance 44
National Institute for Health and Care Excellence
May 2013

Read more here.

Patient and carer experience of obtaining medication for chronic conditions

"This paper presents findings from England of a qualitative study and survey of patients and their carers' experiences of community and primary care based services for physical chronic diseases."

Patient and carer experience of obtaining regular prescribed medication for chronic disease in the English National Health Service: a qualitative study
PM Wilson, N Kataria, E McNeilly
BMC Health Services Research, 2013, 13:192

Read more here.

People powered health: health for people, by people and with people

"This report, and the programme it’s part of, make the case for changing the ways in which healthcare is organised. Specifically they show how healthcare can better combine the very best scientific and clinical knowledge with the expertise and commitment of patients themselves, as well as the families, communities and networks that they are part of."

People powered health: health for people, by people and with people
M Horne, H Khan, P Corrigan
NESTA
April 2013

Read more here.

Challenges in health care financing and provision

The Nordic Economic Policy review has produced a special issue about challenges in health care financing and provision. Articles include:

• Ageing populations: more care or just later care?
• Lifestyle, health and costs - what does available evidence suggest?
• The economics of long-term care: a survey
• The role of primary health care in controlling the cost of specialist health care
• Payments in support of effective primary care for chronic conditions
• An economic assessment of price rationing versus non-price rationing of health care
• Should pharmaceutical costs be curbed?
• Productivity differences in Nordic hospitals: Can we learn from Finland?

Access the full issue here.

Commissioning high-quality care for people with long-term conditions

"This study explored what commissioners actually do to commission care for people with long-term conditions, and how this might be improved."

Commissioning high-quality care for people with long-term conditions
J Smith, A Porter, S Shaw, R Rosen, I Blunt, N Mays
Nuffield Trust
March 2013

Read more here.

How hard can it be to include research evidence and evaluation in local health policy implementation?

"Local commissioners and managers need to build the critical use of research evidence and evaluation into health policy implementation at local level in order to provide consistent and effective healthcare services."

How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study
BA Evans, H Snooks, H Howson, M Davies
Implementation Science, 2013, 8:17

Read more here.

Personal health records: putting patients in control?

"Those with complex, chronic conditions, often with more than one long term condition, are most likely to find a personal health record useful and have the most to gain in the first instance."

Personal health records: putting patients in control?
J Cruickshank, C Packman, J Paxman
2020health.org
September 2012

Read more here.

Personal health budgets: experiences and outcomes for budget holders at nine months

"These interviews suggest there is widespread potential for personal health budgets to lead to improvements in health and well-being."

Personal health budgets: experiences and outcomes for budget holders at nine months: fifth interim report
J Davidson, K Baxter, C Glendinning, K Jones, J Forder, J Caiels, E Welch, K Windle, P Dolan, D King
Department of Health
June 2012

Read more here.

Long term conditions compendium of information

"This is the third compendium of information on long term conditions (LTCs) which aims to provide the most up to date data together with a range of case study examples of excellence and innovation from across the country."

Long term conditions compendium of information: third edition
Department of Health
May 2012

Read more here.

The management of adult diabetes services in the NHS

"We estimate that through better management of people with diabetes, the NHS could save £170 million a year."

The management of adult diabetes services in the NHS
National Audit Office
Department of Health
May 2012

Read more here.