BACKGROUND: Chronic Care Model (CCM) has been developed to improve patients' health care by restructuring health systems in a multidimensional manner. This systematic review aims to summarize and analyse programs specifically designed and conducted for the fulfilment of multiple CCM components. We have focused on programs targeting diabetes mellitus, hypertension and cardiovascular disease. METHOD AND RESULTS: This review was based on a comprehensive literature search of articles in the PubMed database that reported clinical outcomes. We included a total of 25 eligible articles. Evidence of improvement in medical outcomes and the compliance of patients with medical treatment were reported in 18 and 14 studies, respectively. Two studies demonstrated a reduction of the medical burden in terms of health service utilization, and another two studies reported the effectiveness of the programs in reducing the risk of heart failure and other cardiovascular diseases. However, CCMs were still restricted by limited academic robustness and social constraints when they were implemented in primary care. Higher professional recognition, tighter system collaborations and increased financial support may be necessary to overcome the limitations of, and barriers to CCM implementation. CONCLUSION: This review has identified the benefits of implementing CCM, and recommended suggestions for the future development of CCM.
BACKGROUND: Chronic Care Model (CCM) has been developed to improve patients' health care by restructuring health systems in a multidimensional manner. This systematic review aims to summarize and analyse programs specifically designed and conducted for the fulfilment of multiple CCM components. We have focused on programs targeting diabetes mellitus, hypertension and cardiovascular disease. METHOD AND RESULTS: This review was based on a comprehensive literature search of articles in the PubMed database that reported clinical outcomes. We included a total of 25 eligible articles. Evidence of improvement in medical outcomes and the compliance of patients with medical treatment were reported in 18 and 14 studies, respectively. Two studies demonstrated a reduction of the medical burden in terms of health service utilization, and another two studies reported the effectiveness of the programs in reducing the risk of heart failure and other cardiovascular diseases. However, CCMs were still restricted by limited academic robustness and social constraints when they were implemented in primary care. Higher professional recognition, tighter system collaborations and increased financial support may be necessary to overcome the limitations of, and barriers to CCM implementation. CONCLUSION: This review has identified the benefits of implementing CCM, and recommended suggestions for the future development of CCM.
Authors: Magdalena Rzewuska; Ana Carolina Guidorizzi Zanetti; Zoë C Skea; Leonardo Moscovici; Camila Almeida de Oliveira; João Mazzoncini de Azevedo-Marques Journal: PLoS One Date: 2021-05-13 Impact factor: 3.240
Authors: Patrick Timpel; Caroline Lang; Johan Wens; Juan Carlos Contel; Peter E H Schwarz Journal: Int J Integr Care Date: 2020-04-22 Impact factor: 5.120
Authors: Veronique Boscart; Lauren E Crutchlow; Linda Sheiban Taucar; Keia Johnson; Michelle Heyer; Meaghan Davey; Andrew P Costa; George Heckman Journal: BMJ Open Date: 2020-02-05 Impact factor: 2.692
Authors: Vicente Doménech-Briz; Rosario Gómez Romero; Isabel de Miguel-Montoya; Raúl Juárez-Vela; José Ramón Martínez-Riera; María Isabel Mármol-López; María Virtudes Verdeguer-Gómez; Álvaro Sánchez-Rodríguez; Vicente Gea-Caballero Journal: Int J Environ Res Public Health Date: 2020-12-20 Impact factor: 3.390
Authors: Stefan Paciocco; Anita Kothari; Christopher J Licskai; Madonna Ferrone; Shannon L Sibbald Journal: BMC Health Serv Res Date: 2021-07-21 Impact factor: 2.655