Managing multi-morbidity in practice

"Learning from those sites who responded to the survey suggests there is a need for multimorbid disease management templates and care pathways, and that integrated working with community teams, including pharmacists, can improve outcomes, with the potential to reduce overall consultation times, increase patient satisfaction, reduce polypharmacy and reduce hospital admissions."

Managing multi-morbidity in practice…what lessons can be learnt from the care of people with COPD and co-morbidities?

NHS Improvement
March 2013

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Evaluating disease management programmes: learning from diverse approaches across Europe

"The project reviewed the policy context for, and approaches to, chronic disease management in 13 European countries, using a structured data collection instrument that organised chronic disease management around four components: active patient involvement, service design, decision support and clinical information systems."

Evaluating disease management programmes: learning from diverse approaches across Europe
E Nolte, et al.
RAND Europe
October 2012

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Developing and validating disease management evaluation methods for European healthcare systems

"We reviewed the policy context for, and approaches to, chronic disease management in 13 European countries."

DISMEVAL: Developing and validating disease management evaluation methods for European healthcare systems: final report
E Nolte, S Hinrichs
RAND Europe
April 2012

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An accompanying document for users and funders is available here.

Disease-management programs can improve quality of care for the chronically ill

"Results of a four-year follow-up show that despite the programs’ implementation in a weak primary care system, quality of care and patient satisfaction have improved while hospitalization rates, duration of hospital stay, patient mortality, and drug costs have been significantly lowered."

Disease-management programs can improve quality of care for the chronically ill, even in a weak primary care system: a case study from Germany
S Stock, D Starke, L Altenhofen, L Hansen
Issues in International Health Policy
The Commonwealth Fund
November 2011

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Health care quality improvement: there's an app for that

"Disease management apps, in particular, can improve communication between patients and providers and promote adherence to recommended care."

Health care quality improvement: there's an app for that
Quality matters
The Commonwealth Fund
October/November 2011

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Disease management evaluation

"Many countries in Europe are experimenting with new, structured approaches to better manage the care of patients with chronic illness and so improve its quality and ultimately patient health outcomes."

Disease management evaluation: a comprehensive review of current state of the art
A Conklin, E Nolte
RAND Europe Technical Report
December 2010

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