Improving the health outcomes of individuals with chronic illness through the delivery of healthcare services

Authors

DOI:

https://doi.org/10.56294/saludcyt2023444

Keywords:

Chronic Heart Failure (CHF), Health Care Professionals (Hcps), Chronic Disease (CD), Patient, Chronic Obstructive Pulmonary Disease (COPD)

Abstract

The move in the healthcare system toward an emphasis on chronic care may be easier to manage if the Wagner model serves as a guide. We define the health demands of patients with chronic disease and compare them to services that should ideally be supplied by a patient-centered health system, drawing on components of this framework and health policies linked to patient-centered care. This article helps readers better understand the unique problems patients face using chronic circumstances with their family carer while interacting with the healthcare scheme and a service provider. To understand more about the challenge faced by the populace utilizing complex diabetes, Chronic Heart Failure (CHF), or chronic obstructive pulmonary disease (COPD), we conducted interviews with patients, carers, and healthcare professionals (HCPs). Patients indicated a variety of demands and objectives about the caliber of their interactions with HCPs, and these needs and wishes were conveyed as worries. There was a need for 1) better HCP communication and information delivery; 2) more organized health services with shorter stages to see HCPs; 3) support for self-care; 4) a better professional understanding of the requirements for holistic as well as ongoing care; and 5) patient as well as caregiver involvement in Decision-Making Processes (DMP). Health policy is more closely linked than it now is to accommodate the needs and preferences of persons with chronic conditions and solve their issues

References

1. Richardson CR, Franklin B, Moy ML, Jackson EA. Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ. 2019;365.

2. Nouri S, Khoong EC, Lyles CR, Karliner L. Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catalyst Innovations in Care Delivery. 2020;1(3).

3. Chudasama YV, Gillies CL, Zaccardi F, Coles B, Davies MJ, Seidu S, Khunti K. Impact of COVID-19 on routine care for chronic diseases: a global survey of views from healthcare professionals. Diabetes Metab Syndr Clin Res Rev. 2020;14(5):965-967.

4. Howard J, Fisher Z, Kemp AH, Lindsay S, Tasker LH, Tree JJ. Exploring the barriers to using assistive technology for individuals with chronic conditions: a meta-synthesis review. Disabil Rehabil Assist Technol. 2022;17(4):390-408.

5. Yoon S, Goh H, Chan A, Malhotra R, Visaria A, Matchar D, Lum E, Seng B, Ramakrishnan C, Quah S, Koh MS. Spillover effects of COVID-19 on essential chronic care and ways to foster health system resilience to support vulnerable non-COVID patients: a multistakeholder study. J Am Med Dir Assoc. 2022;23(1):7-14.

6. Hazazi A, Wilson A. Improving management of non-communicable chronic diseases in primary healthcare centers in the Saudi healthcare system. Health Serv Insights. 2022;15:11786329221088694.

7. Lucca JM, Kurdi S, Albaqshi B, Joseph R. Patient satisfaction with pharmaceutical care services for chronic diseases and medication adherence during COVID-19 in Saudi Arabia. Int J Pharm Pract. 2022;30(2):136-142.

8. Ryder M, Guerin S, Forde R, Lowe G, Jaarsma T, O'Neill M, Halley C, Connolly M. The perceived effects of COVID‐19 while living with a chronic illness. J Nurs Scholarsh. 2023;55(1):154-162.

9. Parkinson A, Matenge S, Desborough J, Dykgraaf SH, Ball L, Wright M, Sturgiss EA, Kidd M. The impact of COVID‐19 on chronic disease management in primary care: lessons for Australia from the international experience. Med J Aust. 2022;216(9):445.

10. Ajisegiri WS, Abimbola S, Tesema AG, Odusanya OO, Peiris D, Joshi R. The organization of primary health care service delivery for non-communicable diseases in Nigeria: a case study analysis. PLOS Global Public Health. 2022;2(7):e0000566.

11. Mahmud RA, Sultana M, Kundu S, Rahman MA, Mistry SK, Kamara JK, Kamal M, Ali MA, Hossain MG, Brooks C, Khan A. The burden of chronic diseases and patients' preference for healthcare services among adult patients suffering from chronic diseases in Bangladesh. Health Expect. 2022;25(6):3259-3273.

12. Bosetti C, Rognoni M, Ciampichini R, Paroni L, Scala M, d’Oro LC, Zucchi A, Amerio A, Iacoviello L, Ghislandi S, Odone A. A real-world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region. Sci Rep. 2022;12(1):13704.

13. Lignou S, Greenwood J, Sheehan M, Wolfe I. Changes in healthcare provision during covid-19 and their impact on children with chronic Illness: A scoping review. INQUIRY J Health Care Organ Provision Financ. 2022;59:00469580221081445.

14. Reif LK, van Olmen J, McNairy ML, Ahmed S, Putta N, Bermejo R, Nugent R, Paintsil E, Daelmans B, Varghese C, Sugandhi N. Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries: a scoping review. BMJ Global Health. 2022;7(7):e007863.

15. Jiang Y, Sun P, Chen Z, Guo J, Wang S, Liu F, Li J. Patients and healthcare providers' perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study. BMC Geriatr. 2022;22:1-16.

16. Longhini J, Canzan F, Mezzalira E, Saiani L, Ambrosi E. Organizational models in primary health care to manage chronic conditions: a scoping review. Health Soc Care Community. 2022;30(3):e565-e588.

17. Lewinski AA, Walsh C, Rushton S, Soliman D, Carlson SM, Luedke MW, Halpern DJ, Crowley MJ, Shaw RJ, Sharpe JA, Alexopoulos AS. Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review. J Med Internet Res. 2022;24(8):e37100.

18. Alyousef M, Naughton C, Bradley C, Savage E. Primary healthcare reform for chronic conditions in countries with high or very high human development index: A systematic review. Chronic Illness. 2022;18(3):469-487.

19. Cohen DJ, Wyte-Lake T, Bonsu P, Albert SL, Kwok L, Paul MM, Nguyen AM, Berry CA, Shelley DR. Organizational factors associated with guideline concordance of chronic disease care and management practices. J Am Board Fam Med. 2022;35(6):1128-1142.

20. Mattison G, Canfell O, Forrester D, Dobbins C, Smith D, Töyräs J, Sullivan C. The Influence of Wearables on Health Care Outcomes in Chronic Disease: Systematic Review. J Med Internet Res. 2022;24(7):e36690.

21. Thompson DM, Booth L, Moore D, Mathers J. Peer support for people with chronic conditions: a systematic review of reviews. BMC Health Serv Res. 2022;22(1):427.

22. Howard J, Fisher Z, Kemp AH, Lindsay S, Tasker LH, Tree JJ. Exploring the barriers to using assistive technology for individuals with chronic conditions: a meta-synthesis review. Disabil Rehabil Assist Technol. 2022;17(4):390-408.

23. Salih MH, Wettergren L, Lindgren H, Erlandsson K, Mekonen H, Derseh L. Translation and psychometric evaluation of chronic Illness anticipated stigma scale (CIASS) among patients in Ethiopia. PLoS One. 2022;17(1):e0262744.

24. Joo JY, Liu MF. A scoping review of telehealth-assisted case management for chronic illnesses. West J Nurs Res. 2022;44(6):598-611.

25. Zhao S, Du R, He Y, He X, Jiang Y, Zhang X. Elements of chronic disease management service system: an empirical study from large hospitals in China. Sci Rep. 2022;12(1):5693.

26. O’Connor SR, Connaghan J, Maguire R, Kotronoulas G, Flannagan C, Jain S, Brady N, McCaughan E. Healthcare professional perceived barriers and facilitators to discussing sexual well-being with patients after diagnosis of chronic Illness: A mixed-methods evidence synthesis. Patient Educ Couns. 2019;102(5):850-863.

27. Ataie-Kachoie A, Tran J. Chronic disease management: Poly (ADP-ribose) polymerase inhibitors for treating ovarian cancer. Aust Pharm. 2022;41(5):44-52.

28. Livneh H. Psychosocial adaptation to chronic IllnessIllness and disability: An updated and expanded conceptual framework. Rehabil Couns Bull. 2022;65(3):171-184.

29. Adams J, McIntyre E, Frawley J, Lauche R, Broom A, Sibbritt D. Formal and informal healthcare behaviors of women with chronic Illness: A cross‐sectional analysis of 1925 women. Int J Clin Pract. 2019;73(4):e13343.

30. Buttorff C, Ruder T, Bauman M. Multiple chronic conditions in the United States. Santa Monica, CA: Rand; 2017

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Published

2023-08-02

How to Cite

1.
Libin J, Patel J D, Kumar C S. Improving the health outcomes of individuals with chronic illness through the delivery of healthcare services. Salud, Ciencia y Tecnología [Internet]. 2023 Aug. 2 [cited 2025 Mar. 10];3:444. Available from: https://sct.ageditor.ar/index.php/sct/article/view/490