2016
DOI: 10.9778/cmajo.20160031
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Integration of chronic disease prevention and management services into primary care: a pragmatic randomized controlled trial (PR1MaC)

Abstract: C hronic conditions are the most common problems in health care and the leading causes of death globally. 1 Acute communicable diseases have given way to chronic conditions such as arthritis, diabetes, and cardiovascular and respiratory diseases that will impose an even greater burden in the future. 2 The needs of patients with these diseases are usually complex and are challenging to manage. For this reason, many chronic disease prevention and management (CDPM) programs have been designed with the aim of impr… Show more

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Cited by 26 publications
(60 citation statements)
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“…The details of the participants are described in the Table 1. Patients with multimorbidity defined as 3 chronic conditions or more, were predominantly represented in this study which is consistent with the participants of the trial [4]. Mean age of the patients was 58 in they had a mean of 5.9 chonic conditions.…”
Section: Resultssupporting
confidence: 71%
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“…The details of the participants are described in the Table 1. Patients with multimorbidity defined as 3 chronic conditions or more, were predominantly represented in this study which is consistent with the participants of the trial [4]. Mean age of the patients was 58 in they had a mean of 5.9 chonic conditions.…”
Section: Resultssupporting
confidence: 71%
“…All patient encounters were on a one-to-one and face-to-face basis. Details on the intervention are provided elsewhere and summarized in the Additional file 1 [3, 4].…”
Section: Introductionmentioning
confidence: 99%
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“…This should include care coordination as a cornerstone of this effective team and be led by either the primary care practitioner or a trained case manager [ 35 37 ]. Prevention must become a top-priority [ 38 ] and must be financially rewarded [ 39 ]. Well-being and resilience promotion [ 40 , 41 ] should be a part of medical training to build emotional coping abilities [ 42 ].…”
Section: Discussionmentioning
confidence: 99%
“…Conversely, studies show that chronic disease prevention and treatments are more effective in integrated care models, which emphasize an active collaboration between patients and health professionals. [9][10][11] In addition, extensive research in the past 20 years indicate CDSMP programs are effective in improving health and reducing hospitalizations and emergency room use. [12] A meta-analysis and systematic literature review indicate that CDSMP programs are effective in reducing risk factors among patients with cerebrovascular disease.…”
Section: Introductionmentioning
confidence: 99%