Developing an active implementation model for a chronic disease management program
References
- Jensen MB Fenger-Gron M Fonager K Omland O Vinding AL Hansen JG Chronic obstructive pulmonary disease involves substantial health-care service and social benefit costs Danish Medical Journal 2013 60 1 A4557
- Pearson M Raising the profile of chronic obstructive pulmonary disease with healthcare decision-makers Respiratory Medicine 2002 96 Suppl C S1 2
- Goodwin N Ferrer L Together for health: introducing the International Foundation for Integrated Care International Journal of Integrated Care [serial online] 2012 12 24 12 [cited 2013 May 16]. Available from: http://www.ijic.org/index.php/ijic/article/view/1126/1957. URN:NBN:NL:UI:10-1-114209
- Tottenborg SS Thomsen RW Nielsen H Johnsen SP Frausing HE Lange P Improving quality of care among COPD outpatients in Denmark 2008–2011 Clinical Respiratory Journal 2012 doi:10.1111/crj.12009
- Lange P Andersen KK Munch E Sorensen TB Dollerup J Kasso K Quality of COPD care in hospital outpatient clinics in Denmark: The KOLIBRI study Respiratory Medicine 2009 103 11 1657 62
- Jensen AL Vedelo TW Lomborg K A patient-centred approach to assisted personal body care for patients hospitalised with chronic obstructive pulmonary disease Journal of Clinical Nursing 2013 22 7-8 1005 15
- Utens CM Goossens LM Smeenk FW Rutten-Van Molken MP van VM Braken MW Early assisted discharge with generic community nursing for chronic obstructive pulmonary disease exacerbations: results of a randomised controlled trial British Medical Journal Open 2012 2 e001684
- van Schayck CP Bindel PJE Decramer M Dekhuijzen PNR Kerstjens HAM Muris JWM, et al Making COPD a treateble disease—an integrated care perspective Respiratory Medicine: COPD Update 2013 3 2 49 56
- Bodenheimer T Wagner EH Grumbach K Improving primary care for patients with chronic illness The Journal of the American Medical Association 2002 288 14 1775 9
- Bodenheimer T Wagner EH Grumbach K Improving primary care for patients with chronic illness: the chronic care model, Part 2 The Journal of the American Medical Association 2002 288 15 1909 14
- Wagner EH A recipe for improving outcomes in chronic illness 2003 [cited 2011 Nov 19]. Available from: http://www.onlinevideo.com/clients/icic/trainer.ram
- Grol R Wensing M Eccles M Improving Patient Care. The Implementation of Change in Clinical Practice 2005 Edinburgh Elsevier
- Goodwin N Smith J Davies A Perry C Rosen R Dixon A Integrated care for patients and populations, improving outcomes by working together. A report to the Department of Health and the NHS Future Forum 2012 London The King’s Fund and Nuffield Trust
- Eccles M Grimshaw J Walker A Johnston M Pitts N Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings Journal of Clinical Epidemiology 2005 58 2 107 12
- Wagner EH Austin BT Davis C Hindmarsh M Schaefer J Bonomi A Improving chronic illness care: translating evidence into action Health Affairs (Millwood) 2001 20 6 64 78
- Feachem RG Sekhri NK White KL Getting more for their dollar: a comparison of the NHS with California’s Kaiser Permanente British Medical Journal 2002 324 7330 135 41
- Ham C Learning from Kaiser Permanente, a Progress Report 2003 London Department of Health [cited 2013 March]. Available from: http://www.kingsfund.org.uk/sites/files/kf/integrated-care-patients-populations-paper-nuffield-trust-kings-fund-january-2012.pdf
- Frolich A Schiotz ML Strandberg-Larsen M Hsu J Krasnik A Diderichsen F A retrospective analysis of health systems in Denmark and Kaiser permanente BioMed Central Health Services Research 2008 8 252
- Coleman K Austin BT Brach C Wagner EH Evidence on the Chronic Care Model in the new millennium Health Affairs (Millwood) 2009 28 1 75 85
- Pauwels RA Buist AS Ma P Jenkins CR Hurd SS Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary Respiratory Care 2001 46 8 798 825
- Løkke A Lange P Scharling H Fabricius P Vestbo J Developing COPD: a 25 year follow-up study of the general population Thorax 2006 61 935 9
-
Hansen
JG
Pedersen
L
Overvad
K
Omland
O
Jensen
HK
Sorensen
HT
Prævalens af kronisk obstruktiv lungesygdom
Prevalence of chronic obstructive pulmonary disease Ugeskrift for LaegerDanish Medical Journal 2009 171 41 2986 8 [in Danish] -
Region Midtjylland
Forløbsprogram for Kronisk Obstruktiv Lungesygdom—Kliniske retningslinjer, tjeklister og vejledninger
Disease management program for COPD—Clinical guidelines, checklist and recommendations 2008 Viborg Region Midtjylland [in Danish] - Rabe KF Hurd S Anzueto A Barnes PJ Buist SA Calverley P Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary The American Journal of Respiratory and Critical Care Medicine 2007 176 6 532 55
- Grol R Wensing M What drives change? Barriers to and incentives for achieving evidence-based practice The Medical Journal of Australia 2004 180 6 Suppl S57 S60
- Grol R Grimshaw J From best evidence to best practice: effective implementation of change in patients’ care Lancet 2003 362 9391 1225 30
- Green LW Glasgow RE Evaluating the relevance, generalization, and applicability of research: issues in external validation and translation methodology Evaluation and the Health Professions 2006 29 1 126 53
- Campbell M Fitzpatrick R Haines A Kinmonth AL Sandercock P Spiegelhalter D Framework for design and evaluation of complex interventions to improve health British Medical Journal 2000 321 7262 694 6
- Perera R Heneghan C Yudkin P Graphical method for depicting randomised trials of complex interventions British Medical Journal 2007 334 7585 127 9
-
Amtsrådsforeningen
Status og udviklingsperspektiver for sundhedsvæsenet
Status of development and perspectives in the health care sector 1999 København Amtsrådsforeningen [in Danish] -
Vedsted
P
Olesen
F
Hollnagel
H
Bro
F
Kamper-Jørgensen
F
Almen lægepraksis i Danmark
General practice in Denmark 2005 København Tidsskrift for Praktisk Lægegerning [Journal of Medical Practice] [in Danish] - Pedersen KM Andersen JS Sondergaard J General practice and primary health care in Denmark The Journal of the American Board of Family Medicine 2012 25 Suppl 1 S34 S38
- Medical Research Council A Framework for development and evaluation of RCTs for Complex Interventions to Improve Health. Medical Research Council 2000
- Craig P Dieppe P Macintyre S Michie S Nazareth I Petticrew M Developing and evaluating complex interventions: the new Medical Research Council guidance British Medical Journal 2008 337 a1655 doi: 10.1136/bmj.a1655
- Haynes B Haines A Barriers and bridges to evidence based clinical practice British Medical Journal 1998 317 7153 273 6
- Ornish D Scherwitz LW Billings JH Brown SE Gould KL Merritt TA Intensive lifestyle changes for reversal of coronary heart disease The Journal of the American Medical Association 1998 280 23 2001 7
- Ouwens M Hulscher M Hermens R Faber M Marres H Wollersheim H Implementation of integrated care for patients with cancer: a systematic review of interventions and effects International Journal for Quality in Health Care 2009 21 2 137 44
- Stross JK The educationally influential physician Journal of Continuing Education in Health Professions 1996 16 167 72
- Wagner EH Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice 1998 1 1 2 4
- Epstein LH Cluss PA A behavioral medicine perspective on adherence to long-term medical regimens Journal of Consulting and Clinical Psychology 1982 50 6 950 71
- Oxman AD Thomson MA Davis DA Haynes RB No magic bullets: a systematic review of 102 trials of interventions to improve professional practice Canadian Medical Association Journal 1995 153 10 1423 31
- Tsai AC Morton SC Mangione CM Keeler EB A meta-analysis of interventions to improve care for chronic illnesses American Journal of Managed Care 2005 11 8 478 88
- Grimshaw JM Schunemann HJ Burgers J Cruz AA Heffner J Metersky M Disseminating and implementing guidelines: article 13 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report Annals of the American Thoracic Society 2012 9 5 298 303
- American Psychological Association APA PsychNET [cited 2012 May 2]. Available from http://psycnet.apa.org/psycinfo/1999-10561-001
-
Region Midtjylland
Etablering af lærings- og mestringskonceptet. Bilag til Regionsrådets møde den 23. maj 2007
Establishing the coping concept. Addition to the regional meeting May 23 2007 2007 Viborg Region Midtjylland [in Danish] - Blackstock F Webster K Disease-specific health education for COPD: a systematic review of changes in health outcomes Health Education Research 2007 22 5 703 17
- Chaix-Couturier C Durand-Zaleski I Jolly D Durieux P Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological issues International Journal for Quality in Health Care 2000 12 2 133 42
- Wensing M van der Weijden T Grol R Implementing guidelines and innovations in general practice: which interventions are effective? British Journal of General Practice 1998 991 7
- Laffel G Blumenthal D The case for using industrial quality management science in health care organizations The Journal of the American Medical Association 1989 262 20 2869 73
- Stockley RA O’Brien C Pye A Hill SL Relationship of sputum color to nature and outpatient management of acute exacerbations of COPD Chest 2000 117 6 1638 45
- Stockley RA O’Brien C Pye A Hill SL Relationship of sputum color to nature and outpatient management of acute exacerbations of COPD. 2000 Chest 2009 136 5 Suppl e30
- Walter F Webster A Scott S Emery J The Andersen model of total patient delay: a systematic review of its application in cancer diagnosis Journal of Health Services Research and Policy 2012 17 2 110 8
- Critial Tools Red-Yellow-Green tools plans for different diseases Improving Chronic Illness Care website 2013 [cited 2013 Feb 12]. Available from: URL: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162
- Aarhus University KOL. [COPD] [cited 2012 Dec 2]. Available from http://kol.au.dk. [in Danish]
- Thomson MA Oxman AD Davis DA Haynes RB Freemantle N Harvey EL Outreach visits to improve health professional practice and healh care outcomes The Cochrane Library 1997 4 1 15
- Berwick D The breakthrough series: IHI’s collaborative model for achieving breakthrough improvement Innovation Series 2003 1 13
- Berwick DM Nolan TW Physicians as leaders in improving health care: a new series in Annals of Internal Medicine Annals of Internal Medicine 1998 128 4 289 92
- Campbell H Hotchkiss R Bradshaw N Porteous M Integrated care pathways British Medical Journal 1998 316 7125 133 7
- Grimshaw JM Eccles MP Walker AE Thomas RE Changing physicians’ behavior: what works and thoughts on getting more things to work Journal of Continuing Education in the Health Professions 2002 22 4 237 43
- Smidth M Sokolowski I Kærsvang L Vedsted P Developing an algorithm to identify people with Chronic Obstructive Pulmonary Disease (COPD) using administrative data BioMed Central Medical Informatics and Decision Making 2012 12 38
- O’Connell DL Henry D Tomlins R Randomised controlled trial of effect of feedback on general practitioners’ prescribing in Australia British Medical Journal 1999 318 7182 507 11
- Eccles M Steen N Grimshaw J Thomas L McNamee P Soutter J Effect of audit and feedback, and reminder messages on primary-care radiology referrals: a randomised trial Lancet 2001 357 9266 1406 9
- Grimshaw JM Thomas RE MacLennan G Fraser C Ramsay CR Vale L Effectiveness and efficiency of guideline dissemination and implementation strategies Health Technology Assessment Programme 2004 8 6 3 72
- Improving chronic illness care [cited 2012 May 20]. Available from: http://www.improvingchroniccare.org/index.php?p=About_US&s=6
- Langley GJ Nolan KM Nolan TW Clifford LN Provost LP The Improvement Guide: A Practical Approach to Enhancing Organizational Performance 1996 San Francisco Jossey-Bass
- Schouten LM Hulscher ME van Everdingen JJ Huijsman R Grol RP Evidence for the impact of quality improvement collaboratives: systematic review British Medical Journal 2008 336 7659 1491 4
- Glasgow RE Funnell MM Bonomi AE Davis C Beckham V Wagner EH Self-management aspects of the improving chronic illness care breakthrough series: implementation with diabetes and heart failure teams Annals of Behavioral Medicine 2002 24 2 80 7
- Kousgaard MB Thorsen T Positive experiences with a specialist as facilitator in general practice Danish Medical Journal 2012 59 6 A4443
- Sipila R Helin-Salmivaara A Korhonen MJ Ketola E Change in antihypertensive drug prescribing after guideline implementation: a controlled before and after study BioMed Central Family Practice 2011 12 87
- Figueiras A Sastre I Tato F Rodriguez C Lado E Caamano F One-to-one versus group sessions to improve prescription in primary care: a pragmatic randomized controlled trial Medical Care 2001 39 2 158 67
- Freemantle N Nazareth I Wood J Haines A Eccles M Commentary on the EBOR trial report British Journal of General Practice 2002 52 480 587 8
- Avorn J Soumerai SB Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based “detailing” The New England Journal of Medicine 1983 308 1457 63
-
Vedsted
P
Lous
J
Besøg af facilitator og effekten på det kliniske arbejde og patientudbyttet
Visit from a facilitator and the effect for the clinical work and patient experience Ugeskrift for Laeger [Weekly Journal for doctors] 1998 160 7243 5 [in Danish] - Baker R Olesen F Continous quality improvement: a solution for primary care and care across the interface? Quality in Health Care 1999 8 3 4
- Bero LA Grilli R Grimshaw JM Harvey E Oxman AD Thomson MA Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group British Medical Journal 1998 317 7156 465 8
- Bonetti D Eccles M Johnston M Steen N Grimshaw J Baker R Guiding the design and selection of interventions to influence the implementation of evidence-based practice: an experimental simulation of a complex intervention trial Social Science and Medicine 2005 60 9 2135 47
- Olesen F Striking the balance: from patient-centred to dialogue-centred medicine Scandinavian Journal of Primary Health Care 2004 22 4 193 4
-
Sundhedsstyrelsen
Kol—Kronisk Obstruktiv Lungesygdom. Anbefalinger for tidlig opsporing, opfølgning, behandling og rehabilitering
COPD—Chronic Obstructive Pulmonary Disease. Recommendation for tracing, following, treatment and rehabilitation 2007 København Sundhedsstyrelsen [in Danish] - Global Initiative for Chronic Obstructive Lung Disease (GOLD) Global Initiative for Chronic Obstructive Lung Disease (GOLD] [cited 2012 May 2]. Available from: http://www.goldcopd.org/
-
Byrjalsen
C
Hansen
IG
Shared care mellem almen praksis og sygehusenes speciallæger—et ledelsesanliggende. Master thesis
Shared care between general practice and hospital consultants—a matter of leadership 2001 Odense Det Samfundsvidenskabelige Fakultet, SDU- Odense Universitet [in Danish] - Smith SM Allwright S O’Dowd T Effectiveness of shared care across the interface between primary and specialty care in chronic disease management Cochrane Database Systematic Review 2007 3 CD004910
- Maindal HT Development and evaluation of the “The Ready to Act” education intervention focusing on Action Competence in a screen-detected population with Dysglycaemia. PhD thesis 2009 Aarhus Faculty of Health Sciences, University of Aarhus, Department and Research Unit of General Practice, Institute of Public Health
- Ham C The ten characteristics of the high-performing chronic care system Health Economics, Policy and Law 2010 5 Pt 1 71 90
- Pearson ML Wu S Schaefer J Bonomi AE Shortell SM Mendel PJ Assessing the implementation of the chronic care model in quality improvement collaboratives Health Services Research 2005 40 4 978 96
- Holm AL Severinsson E Chronic care model for the management of depression: synthesis of barriers to, and facilitators of, success International Journal of Mental Health Nursing 2012 21 6 513 23
- Stellefson M Dipnarine K Stopka C The Chronic Care Model and diabetes management in US primary care settings: a systematic review Preventing Chronic Diseases, Public Health Research, Practice and Policy 2013 10 E26
- Grol R Successes and failures in the implementation of evidence-based guidelines for clinical practice Medical Care 2001 39 8 Suppl 2 II46 II54
- WHO WHO Disease and Injury country estimates 2012 [cited 2013 Feb 14]. Available from: http://www.who.int/healthinfo/global_burden_disease/estimates_country/en/index.html
- Solberg LI Crain AL Sperl-Hillen JM Hroscikoski MC Engebretson KI O’Connor PJ Care quality and implementation of the chronic care model: a quantitative study Annals of Family Medicine 2006 4 4 310 6
DOI: https://doi.org/10.5334/ijic.994 | Journal eISSN: 1568-4156
Language: English
Submitted on: Aug 15, 2012
Accepted on: Mar 20, 2013
Published on: Jun 17, 2013
Published by: Igitur publishing
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2013 Margrethe Smidth, Morten Bondo Christensen, Frede Olesen, Peter Vedsted, published by Igitur publishing
This work is licensed under the Creative Commons Attribution 4.0 License.