Care models for people with chronic diseases: integrative review

Ulbrich, Elis Martins; Mattei, Ângela Taís; Mantovani, Maria de Fátima; Madureira, Alexandra Bittencourt; Kalinke, Luciana Puchalski

doi:10.17533/udea.iee.v35n1a02

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…Another benefit of case management observed in the speeches was the fact that the patients feel more informed and, with this, feel more responsible for their recovery and care process. In this regard, a bibliographic review identified the importance of the case manager being a professional nurse, as they are the main reference for the patients and their families, mainly when it comes to health education to promote healthy habits and prevent diseases or complications (28) .…”

Section: Discussionmentioning

confidence: 99%

Perception of post-stroke patients on case management conducted by nurses

Souza

Mantovani

Mattei³

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify the perception of post-stroke patients on the case management conducted by nurses. Method: Qualitative descriptive study with 13 post-stroke patients, followed-up with case management conducted by a nurse for six months, and interviewed at home one month after the end of the follow-up. The interviews were recorded, transcribed in full and analyzed with the help of a software. Results: Of the 13 participants, 57.14% were men and 50% were between 50 and 59 years. Content analysis resulted in three categories: “Self-management of care”, which addressed changes in attitudes towards treatment, mainly due to concern of recurrence in a short period of time; “Sequelae and late repercussions of the stroke”, which presents participants’ difficulties after the event; and “Support received after a stroke”, which emphasizes the actions and attitudes of the case manager nurse during the follow-up period. Conclusion: Case management was perceived by the participant as a health-promoting tool capable of increasing treatment adherence.

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Section: Discussionmentioning

confidence: 99%

Perception of post-stroke patients on case management conducted by nurses

Souza

Mantovani

Mattei³

et al. 2021

Rev. esc. enferm. USP

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“…Efficiency is a quality aim in 20 of the scientific articles [26,28,30,32,39,[43][44][45][46][47][48][49][51][52][54][55]57,61,62,65] and in 9 of the grey literature [3,4,12,[14][15][68][69][70]72]. This aim is about using appropriate (amounts of) resources and avoiding waste, including waste of equipment, supplies, ideas, and energy [12].…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

“…Person-centredness is defined by WHO [70] as the approach to care that consciously adopts the perspectives of individuals, carers, families and communities as participants in, and beneficiaries of, trusted health systems organized around the comprehensive needs of Version 3.0 people rather than individual diseases, and respects social preferences. This is a central dimension in 36 of the scientific papers [18,20,29,[31][32][33][34][35][36][37][38][39][41][42][43][44][48][49][50][51][52][53]58,[62][63][64][65] and ranges from outright mentions of patient-/person-centredness to implicit indications that relate to collaborating with and engaging PwCC in their care and self-management. It is also included in 19 more grey literature [3][4]12,[14][15]68,71,[73][74][75][76][77][80][81][82][83][84]…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Ku,

van de Put,

Katsuva

et al. 2024

Preprint

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Background There is a need to implement good quality chronic care to address the ballooning burden of chronic conditions affecting all countries globally. However, to our knowledge, no systematic attempts have yet been made to define and specify aims for chronic care quality. Objective We conducted a scoping review and Delphi survey to establish and validate a comprehensive specification of chronic care quality aims. Methodology The Institute of Medicine (IOM) quality of care definition and aims was utilised as our base. We purposively selected scientific and grey literature that have acknowledged and unpacked the plurality of quality in chronic care and which proposed/made use of frameworks and studied their implementation or investigated minimum two IOM care quality aims and their implementation. We critically analysed the literature deductively and inductively. We validated our findings through Delphi survey involving international chronic care experts, mostly coming from/have expertise on low-and-middle-income countries. Results We considered the natural history of chronic conditions and the journey of a person with chronic condition to define and identify aims of chronic care quality. We noted that the six IOM aims apply but with additional meanings. We identified a seventh aim, continuity, which relates well to the issue of chronicity. Our panellists agreed with the specifications. Several provided contextualised interpretations and concrete examples. Conclusions Chronic conditions pose specific challenges underscoring the relevance of tailoring quality of care aims. Operationalization of this tailored definition and specified aims to improve, measure and assure quality of chronic care can be next steps.

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Quality of care for chronic conditions: identifying specificities of quality aims based on scoping review and Delphi survey

Ku,

van de Put,

Katsuva

et al. 2024

Global Health Action

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There is a growing need to implement high quality chronic care to address the global burden of chronic conditions. However, to our knowledge, there have been no systematic attempts to define and specify aims for chronic care quality. To address this gap, we conducted a scoping review and Delphi survey to establish and validate comprehensive specifications. The Institute of Medicine’s (IOM) quality of care definition and aims were used as the foundation. We purposively selected articles from the scientific (n=48) and grey literature (n=26). We sought papers that acknowledged and unpacked the plurality of quality in chronic care and proposed or utilised frameworks, studied their implementation, or investigated at least two IOM quality care aims and implementation. Articles were analysed both deductively and inductively. The findings were validated through a Delphi survey involving 49 international chronic care experts with varied knowledge of, and experience in, low-and-middle-income countries. Considering the natural history of chronic conditions and the journey of a person with a chronic condition, we defined and identified the aims of chronic care quality. The six IOM aims apply with specific meanings. We identified a seventh aim, continuity, which relates to the issue of chronicity. The group endorsed our specifications and several participants gave contextualised interpretations and concrete examples. Chronic conditions pose specific challenges underscoring the relevance of tailoring quality of care aims. The next steps require a tailored definition and specific aims to improve, measure and assure the quality of chronic care.

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Care models for people with chronic diseases: integrative review

Cited by 6 publications

References 22 publications

Perception of post-stroke patients on case management conducted by nurses

Perception of post-stroke patients on case management conducted by nurses

Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Quality of care for chronic conditions: identifying specificities of quality aims based on scoping review and Delphi survey

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