Effective management of long-term conditions can only be achieved in primary and community care. Our goal was to examine the health outcomes of chronic disease management programs for adults with physical problems that were implemented in primary and community care settings.
These methods were based upon 2006 review. We searched the database for articles published between 2006 and 2014, and then conducted a systematic review using narrative synthesis. This was done using the Cochrane Effective Practice & Organisation of Care taxonomy in order to classify interventions / outcomes.
These interventions were then mapped to elements of the Chronic Care Model. The frequency of statistically significant improvements in patient outcomes and health care provision was a summary of the outcomes of interventions. You can find out more about chronic disease management in Charlotte through https://www.artofmedicinedirect.com/services/chronic-disease-management/.
Database searches and snowballing resulted in the retrieval of 9589 journal articles. After verification and screening, 165 articles covering 157 studies were selected. Few studies used Health Care Organization (1.9%) or Community Resources (0.6%) as primary intervention elements. Most studies found that self-management support interventions (45.8%) were most effective in improving patient-level outcomes.
Interventions in Delivery System Design (22.6%) demonstrated benefits for both patient- and professional-level outcomes. 21.3% of studies showed that Decision Support interventions had a limited impact on professional-level outcomes. This included the use of medication. A small number (8.9%) of clinical information system interventions showed benefits for professional- and patient-level outcomes.