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Integrated chronic disease care delivery at a primary care level in sub-Saharan Africa: A systematic review, best fit framework synthesis, and new conceptual model [article]

Simon R Harrison, Aileen M Jordan
2021 medRxiv   pre-print
Articles on chronic care conceptual models were included if they were developed for application in a primary care context and described a framework for long-term management of chronic disease care, and  ...  Results: Two conceptual models of chronic disease care, comprising 6 themes, were used to build the a priori framework.  ...  Inclusion criteria were articles in English, describing a conceptual model or framework for chronic disease care, developed for application in a primary care context, and describing the long-term management  ... 
doi:10.1101/2021.11.30.21267057 fatcat:xn2m7rvx6rgbrfwxj7bfq6qzti

Lessons from the Basque Country; Contrasting Basque Integrated Care Health Policy with the New NHS Long Term Plan

Tim Robbins
2021 International Journal of Integrated Care  
England's NHS has stressed the need for effective integrated care to manage chronic disease and multi-morbidity.  ...  The Basque model is centred on conceptual frameworks and an overriding focus on health inequalities alongside quantitative outcome targets.  ... 
doi:10.5334/ijic.icic20229 fatcat:5kuwmkdldzeixfh7wts53hrac4

A Conceptual Framework for Smart Homecare

Sujata Basnet
2018 Journal of Computers  
This research aims to develop a "Conceptual Framework for Smart Homecare" that emphasizes to optimize the homecare processes in terms of quality and cost efficiency.  ...  The conceptual model is proposed through incorporating an i* model into the early phase of requirements engineering.  ...  Long term benefit includes a more sustainable and healthy living standard based on a cost and time efficient system.  ... 
doi:10.17706/jcp.13.7.733-749 fatcat:dgnmgevq2fdb7ka3otsytl27uu

A Framework for Understanding the Role of Psychological Processes in Disease Development, Maintenance, and Treatment: The 3P-Disease Model

Casey D. Wright, Alaina G. Tiani, Amber L. Billingsley, Shari A. Steinman, Kevin T. Larkin, Daniel W. McNeil
2019 Frontiers in Psychology  
The 3P framework can aid in facilitating a multidisciplinary, theoretical approach and way of conceptualizing the study and treatment of diseases in the future.  ...  The aim here was to apply and adapt the 3P model, originally developed and used in the treatment of insomnia, to couch the biopsychosocial model in a way that explains how diseases develop, are maintained  ...  In terms of research, scientists might utilize the 3P disease model to conceptualize and identify actual predisposing, precipitating, and perpetuating factors for these and many other diseases.  ... 
doi:10.3389/fpsyg.2019.02498 pmid:31824367 pmcid:PMC6879427 fatcat:enftjokw7nf4rluy53yktxzvai

EXPERTS 1--experiences of long-term life-limiting conditions among patients and carers: protocol for a qualitative meta-synthesis and conceptual modelling study

C. R. May, J. Masters, L. Welch, K. Hunt, C. Pope, M. Myall, P. Griffiths, P. Roderick, J. Glanville, A. Richardson
2015 BMJ Open  
2015) EXPERTS 1-experiences of long-term life-limiting conditions among patients and carers: protocol for a qualitative meta-synthesis and conceptual modelling study.  ...  To better understand the sources of complexity we will undertake an evidence synthesis of qualitative studies of patient and informal carer experiences of three common long-term life-limiting conditions  ...  METHODS (2) CONCEPTUAL MODELLING Objective To build a robust generic conceptual model of the mechanisms and processes that shape patient journeys towards end of life in long-standing life-limiting disease  ... 
doi:10.1136/bmjopen-2014-007372 pmid:25838511 pmcid:PMC4390683 fatcat:jqov6cgs45athbf5msbjycys2y

A qualitative study of perpetuating factors for long term sick leave and promoting factors for return to work: chronic work disabled patients in their own words

PM Dekkers-Sánchez, H Wind, JK Sluiter, MHW Frings-Dresen
2010 Journal of Rehabilitation Medicine  
Qualitative data analysis was performed using a conceptual framework to identify barriers and enablers for return to work.  ...  This study provides insight, from the perspective of chronic work disabled patients, into the perpetuating factors for long-term sick leave and promoting factors for return to work.  ...  A thematic framework was constructed based on the conceptual model of perpetuating factors for long-term sick leave and promoting factors for return to work (Fig. 1) .  ... 
doi:10.2340/16501977-0544 pmid:20549159 fatcat:2x4ztfr44fhrzpi6n4tag3rssi

Application of the Weathering Framework: Intersection of Racism, Stigma, and COVID-19 as a Stressful Life Event among African Americans

Fathima Wakeel, Anuli Njoku
2021 Healthcare  
The Weathering Framework is applied to demonstrate the dynamic interrelationships between these factors and to conceptualize COVID-19 as a stressful life event that will have profound health implications  ...  Recommendations for population health research, interventions and policies aimed at reducing COVID-19 incidence and mortality, and mitigation of the long-term impacts of the pandemic on communities of  ...  and reduce their susceptibility to adverse outcomes and long-term socioeconomic hardships [14] .  ... 
doi:10.3390/healthcare9020145 pmid:33540498 fatcat:ws7ktn2rdvg7bozk3rhkhrtkkq


A Lloyd, M Meguro
2007 Value in Health  
OBJECTIVES: Chronic obstructive pulmonary disease (COPD) imposes a tremendous economic and humanistic burden on health care systems worldwide.  ...  METHODS: A structured literature search was conducted in EMBASE and MEDLINE (Jan 1988 to Jan 2007) using keywords relevant to respiratory disease and EQ-5D.  ...  The general structure was similar between models (Markov model +/decision tree) with a long-term horizon. States were defined by patients' vital status and disability level.  ... 
doi:10.1016/s1098-3015(10)65127-3 fatcat:aavhtyee4jccfbhmmivb5pe2k4

Integrated healthcare for chronically ill. Reflections on the gap between science and practice and how to bridge the gap

Wilma Van der Vlegel-Brouwer
2013 International Journal of Integrated Care  
There is however a lack of research evidence for the impact of the chronic care model as a full model.  ...  A different theoretical framework, that embraces complexity, is required.  ...  The chronic care model is a helpful conceptual framework but does not provide sufficient practical guidance at the level of the health service to assist policy-and decision-makers to plan and guide organization  ... 
doi:10.5334/ijic.1079 fatcat:osocx3h6zngbzgzwhiuul3pfcq

Delivering medical care for patients with serious mental illness or promoting a collaborative model of recovery?

Helen Lester, Linda Gask
2006 British Journal of Psychiatry  
There is a tension between models of 'recovery', which are increasingly important in mental health policy and practice, and systematic models of care delivery based on the notion of 'chronic illness'.  ...  A collaborative approach is central to the development of high-quality recovery-oriented mental healthcare.  ...  Perhaps we should actively avoid the term 'chronic we should actively avoid the term 'chronic disease management' and instead talk of disease management' and instead talk of collaborative models of care  ... 
doi:10.1192/bjp.bp.105.015933 pmid:16648523 fatcat:q7b7puuxjvhirlqt62lrd7rmdy

Digital health interventions for chronic diseases: a scoping review of evaluation frameworks

Nazli Bashi, Farhad Fatehi, Mahsa Mosadeghi-Nik, Marzieh S Askari, Mohan Karunanithi
2020 BMJ Health & Care Informatics  
We aimed to explore the nature, extent and components of existing DH frameworks for chronic diseases.  ...  This review explores the nature of DH frameworks for the management of chronic diseases and provides examples to guide monitoring and evaluation of interventions.  ...  Contributors All authors contributed to the design, methodology and writing of the manuscript.  ... 
doi:10.1136/bmjhci-2019-100066 pmid:32156751 pmcid:PMC7252973 fatcat:xbeyfphuxvetznqm67hhtqqb2m


Austen El-Osta
2020 Figshare  
METHOD AND FRAMEWORK DEVELOPMENT: A pragmatic review of the academic and lay literature was undertaken to identify extant theories and conceptual models of self-care.  ...  RESULTS: We identified a total of 32 candidate models, theories and frameworks of self-care. Characterising these models led to the identification of various themes and domains.  ...  INTRODUCTION The global epidemic of long-term noncommunicable diseases (NCDs) and so called 'lifestyle diseases' observed today is a direct result of our inability to self-care 1,2 .  ... 
doi:10.6084/m9.figshare.12578741 fatcat:tadvp5ykkrdq3krzhywk5ca3c4

A Systematic Review of Conceptual Frameworks of Medical Complexity and New Model Development

Leah L. Zullig, Heather E. Whitson, Susan N. Hastings, Chris Beadles, Julia Kravchenko, Igor Akushevich, Matthew L. Maciejewski
2015 Journal of general internal medicine  
OBJECTIVE: Our objective was to develop a conceptual model of complexity addressing gaps identified in a review of published conceptual models.  ...  Two reviewers independently evaluated abstracts and all authors contributed to the development of the conceptual model in an iterative process.  ...  of the manuscript; and decision to submit the manuscript for publication.  ... 
doi:10.1007/s11606-015-3512-2 pmid:26423992 pmcid:PMC4762821 fatcat:sawk3ty37fcsbndgrq5bzbeswm

Chronic diseases and multi-morbidity - a conceptual modification to the WHO ICCC model for countries in health transition

Tolu Oni, Nuala McGrath, Rhonda BeLue, Paul Roderick, Stephen Colagiuri, Carl R May, Naomi S Levitt
2014 BMC Public Health  
Such complex multimorbidity is a major challenge to existing models of healthcare delivery and there is a need to ensure integrated care across disease pathways and across primary and secondary care.  ...  Discussion: The Innovative Care for Chronic Conditions (ICCC) Framework developed by the World Health Organization provides a health systems roadmap to meet the increasing needs of chronic disease care  ...  of these relationships (a long term sequelae of TB is chronic obstructive pulmonary disease (COPD); which itself increases the risk of TB), is important to understand [28] .  ... 
doi:10.1186/1471-2458-14-575 pmid:24912531 pmcid:PMC4071801 fatcat:mix3ibj4hrfofijfodbxuepw3m

Assess the Knowledge Regarding Swachha Bharat Abhiyan among Rural People from Selected Rural Areas of Wardha District

2020 International Journal of Nursing Education  
The Conceptual framework is needed to be utilized through an extensive literature review supporting linkage of selected, interrelated concepts on the basis of Rosswurum and Larrabee Model that recognized  ...  Towards systematic developmental process there is a need to formulate a conceptual model with the inter-related concepts or abstractions that would be assembled in a rational and explanatory scheme.  ...  Conceptual Framework Model for Resilience Tool: A Framework model is the connectivity of various concepts leading to development of a process thus explaining the relationship between all of them. 19,  ... 
doi:10.37506/ijone.v12i4.11247 fatcat:mcz3byzho5hifgvubvvwrjvdbu
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