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Anne Rogers - One of the best experts on this subject based on the ideXlab platform.
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The role of collective efficacy in long-term Condition Management: A metasynthesis.
Health & social care in the community, 2019Co-Authors: Ivaylo Vassilev, Rebecca Band, Anne Kennedy, Elizabeth James, Anne RogersAbstract:Social networks have been found to have a valuable role in supporting the Management of long-term Conditions. However, the focus on the quality and how well self-Management interventions work focus on individualised behavioural outcomes such as self-efficacy and there is a need for understanding that focuses on the role of wider collective processes in self-Management support. Collective efficacy presents a potentially useful candidate concept in the development and understanding of self-Management support interventions. To date it has mainly been utilised in the context of organisations and neighbourhoods related to social phenomena such as community cohesion. Drawing on Bandura's original theorisation this meta-synthesis explores how studies of collective efficacy might illuminate collective elements operating within the personal communities of people with long-term Conditions. A qualitative meta-synthesis was undertaken. Studies published between 1998 and 2018 that examined collective efficacy in relation to health and well-being using qualitative and mixed methods was eligible for inclusion. Timing of engagement with others, building trust in the group, and legitimising ongoing engagement with the group arised as central elements of collective efficacy. The two themes forming third order constructs were related to the presence of continuous interaction and ongoing relational work between members of the group. Collective efficacy can develop and be sustained over time in a range of situations where individuals may not have intense relationships with one another and have limited commitment and contact with one another. Extending this to the personal communities of people with long-term Conditions it may be the case that collective efficacy enables a number of engagement opportunities which can be oriented towards assisting with support from networks over a sustained length of time. This may include negotiating acceptable connections to resources and activities which in turn may help change existing practice in ways that improve long-term Condition Management.
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Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries.
PloS one, 2016Co-Authors: Ivaylo Vassilev, Anne Rogers, Anne Kennedy, Michel Wensing, Jan Koetsenruijter, Rosanna Orlando, Maria Carmen Portillo, David CullifordAbstract:Background Network types and characteristics have been linked to the capacity of inter-personal environments to mobilise and share resources. The aim of this paper is to examine personal network types in relation to long-term Condition Management in order to identify the properties of network types most likely to provide support for those with a long-term Condition. Method A cross-sectional observational survey of people with type 2 diabetes using interviews and questionnaires was conducted between April and October 2013 in six European countries: Greece, Spain, Bulgaria, Norway, United Kingdom, and Netherlands. 1862 people with predominantly lower socio-economic status were recruited from each country. We used k-means clustering analysis to derive the network types, and one-way analysis of variance and multivariate logistic regression analysis to explore the relationship between network type socio-economic characteristics, self-Management monitoring and skills, well-being, and network member work. Results Five network types of people with long-term Conditions were identified: restricted, minimal family, family, weak ties, and diverse. Restricted network types represented those with the poorest self-Management skills and were associated with limited support from social network members. Restricted networks were associated with poor indicators across self-Management capacity, network support, and well-being. Diverse networks were associated with more enhanced self-Management skills amongst those with a long-term Condition and high level of emotional support. It was the three network types which had a large number of network members (diverse, weak ties, and family) where healthcare utilisation was most likely to correspond to existing health needs. Discussion Our findings suggest that type of increased social involvement is linked to greater self-Management capacity and potentially lower formal health care costs indicating that diverse networks constitute the optimal network type as a policy in terms of the design of LTCM interventions and building support for people with LTCs.
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Brief encounters: what do primary care professionals contribute to peoples’ self-care support network for long-term Conditions? A mixed methods study
BMC family practice, 2016Co-Authors: Anne Rogers, Ivaylo Vassilev, Anne Kennedy, Helen Brooks, Christian BlickemAbstract:Background Primary care professionals are presumed to play a central role in delivering long-term Condition Management. However the value of their contribution relative to other sources of support in the life worlds of patients has been less acknowledged. Here we explore the value of primary care professionals in people’s personal communities of support for long-term Condition Management.
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established users and the making of telecare work in long term Condition Management implications for health policy
Social Science & Medicine, 2011Co-Authors: Anne Rogers, Carl May, Claire Gately, Susan Kirk, Tracy FinchAbstract:Increasingly policy for long term Condition Management is focussing on new technologies. Telecare is viewed as a means of making services more responsive, equitable, cost and clinically-effective and able to play a central part in mediating between service users, professionals, and service providers. It has also been identified as helping to establish patient self-Management for long term Conditions. In this paper we consider the social practices of the work of telecare integration and incorporation for patients, their interactions with professionals and the synergy or otherwise with policy makers' expectations for how patients approach, use and interact with services. The research took place in England and in Wales and involved qualitative interviews with 31 individuals. Our research suggests that, telecare services provide both an adequate substitution for traditional services and additional benefits such as minimising the need to travel and the added reassurance of regular external surveillance. However, the nature of patient work involved is 'low level' rather than requiring higher level interpretation of readings and decision making commensurate with realising a policy vision of more independent and responsible self -managers. Indeed a paradox of the reliance and acceptance of telecare is the creation of new relationships and dependencies rather than the diminution of reliance envisaged by policy. The illumination of practices around telecare provides evidence for policy makers and others to adjust the predictions and presumptions about how telecare might enable and promote more effective long term Condition Management.
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Integration of devices into long-term Condition Management: A synthesis of qualitative studies
Chronic illness, 2008Co-Authors: Claire Gately, Susan Kirk, Anne Rogers, Rosalind McnallyAbstract:BACKGROUND: Understanding peoples' responses to and ability to incorporate technology for managing long-term Conditions into their everyday lives is relevant for informing the development and implementation of new technologies as part of future long-term Condition Management in domestic environments. Future research and theory building can be facilitated by the synthesis of existing qualitative studies. METHODS: A systematic search for qualitative studies of health technologies at home was undertaken on OVID CINAHL, OVID Medline and CSA databases for the period 1996-2006. Studies (n = 12) that met the inclusion criteria were synthesized and their analyses subjected to qualitative meta-synthesis.Findings: Analyses clustered into five themes: (1) managing multiple uncertainties; (2) the reconstruction of identity; (3) the struggle to remain autonomous while allowing dependence; (4) coming to terms with living a technology-assisted life; and (5) the usability of devices. These translated into a line of argument synthesis in which technology takes on the status of a personified ;other' around which a set of personal and relational attributions are subsequently constructed. These allow the extension of existing illness work to incorporate new technologies. CONCLUSIONS: Ambivalence about the value of technologies that are designed to assist with the Management of a long-term Condition reflects experiences of the disruptive effects of health technologies on personal identities and strategies of managing illness. At the same time, they are highly valued because they provided new opportunities to complete aspects of illness work that were previously impossible.
T Saarenketo - One of the best experts on this subject based on the ideXlab platform.
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Roadex - Improving low traffic volume road Condition Management in the northern periphery area
2004Co-Authors: T Poyry, T SaarenketoAbstract:In 1998 the road districts of Lapland in Finland, Northern Region in Sweden, Troms County in Norway, and the Highlands in Scotland initiated a technical, trans-national collaborative project named ROADEX. The aim of this collaboration was, through the exchange of experience, to identify the best practice strategies and develop procedures for dealing with common challenges associated with the maintenance of low traffic volume road networks in sparsely populated northern regions. The Roadex project was partly financed by an EU (ERDF, Article 10) funded Northern Periphery Programme. ROADEX was divided into two sub-projects: Sub project A dealt with road Condition Management issues; and sub project B studied winter maintenance problems common to the partner road districts. The focus of the ROADEX sub project A (SPA) was on the low traffic volume roads of the partner districts. One of the sub project's special interests was the use of traffic restrictions in the partner districts and techniques to improve bearing capacity of these roads. This paper presents the results of the project, a comparison study of each road district's current policies and techniques in addressing the issues, and also summarises some the results of the phase II field tests, which focused on the standard and best practise structures as well as testing the different kinds of special structures utilised in the road districts. The Roadex project identified a few common major structural problems: drainage of roads located on transversely sloping ground, permanent deformation due to freeze-thaw cycles, poor quality materials, and road sections resting on peat. The results of the Roadex subproject "Road Condition Management" show that each country has emphasized slightly different strategies and techniques when trying to resolve bearing capacity problems in their low traffic volume road network. A significant problem for low traffic volume road Condition Management, shared by all partner districts, is that almost all the structural maintenance funds and resources are allocated to main roads at the expense of medium and low traffic volume roads. As a result, the performance of main roads has been improving over the last few years, while the state of low traffic volume roads has become worse. Another aspect gaining publicity and placing pressure on road districts has been that, due to increasing logistical demands, the industries using the lower class networks for their transportation routes have increased their complaints regarding permanent or temporary load restrictions and poor quality road networks. For the covering abstract see ITRD E135448.
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ROADEX-IMPROVING LOW TRAFFIC VOLUME ROAD Condition Management IN THE NORTHERN PERIPHERY AREA
2003Co-Authors: T Pyry, T SaarenketoAbstract:In 1998 the road districts of Lapland in Finland, Northern Region in Sweden, Troms County in Norway, and the Highlands in Scotland initiated a technical, trans-national collaborative project named ROADEX. The aim of this collaboration was, through the exchange of experience, to identify the best practice strategies and develop procedures for dealing with common challenges associated with the maintenance of low traffic volume road networks in sparsely populated northern regions. The Roadex project was partly financed by an EU (ERDF, Article 10) funded Northern Periphery Program. ROADEX was divided into two sub-projects: Sub project A dealt with road Condition Management issues; and sub project B studied winter maintenance problems common to the partner road districts. The focus of the ROADEX sub project A (SPA) was on the low traffic volume roads of the partner districts. One of the sub project's special interests was the use of traffic restrictions in the partner districts and techniques to improve bearing capacity of these roads. This paper presents the results of the project, a comparison study of each road district's current policies and techniques in addressing the issues, and also summarizes some the results of the phase II field tests, which focused on the standard and best practice structures as well as testing the different kinds of special structures utilized in the road districts. The Roadex project identified a few common major structural problems: drainage of roads located on transversely sloping ground, permanent deformation due to freeze-thaw cycles, poor quality materials, and road sections resting on peat. The results of the Roadex subproject "Road Condition Management" show that each country has emphasized slightly different strategies and techniques when trying to resolve bearing capacity problems in their low traffic volume road network. A significant problem for low traffic volume road Condition Management, shared by all partner districts, is that almost all the structural maintenance funds and resources are allocated to main roads at the expense of medium and low traffic volume roads. As a result, the performance of main roads has been improving over the last few years, while the state of low traffic volume roads has become worse. Another aspect gaining publicity and placing pressure on road districts has been that, due to increasing logistical demands, the industries using the lower class networks for their transportation routes have increased their complaints regarding permanent or temporary load restrictions and poor quality road networks.
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ROADEX - BENCHMARKING LOW TRAFFIC VOLUME ROAD Condition Management IN EU NORTHERN PERIPHERY AREA
2002Co-Authors: T Saarenketo, S Bell, G Berntsen, S Sundberg, E VuontisjarviAbstract:The road districts of Lapland in Finland, Northern Region in Sweden, Trombs County in Norway, and the Highlands in Scotland have initiated a technical, trans-national collaborative project ROADEX. The aim of this collaboration is, through the exchange of experience, to identify the best practice strategies and develop procedures for dealing with common challenges associated with the maintenance of low traffic volume road networks in sparsely populated northern regions. The focus of the ROADEX sub project A (SPA) is on the low traffic volume roads of the partner districts. One of the subproject's special interests is the use of traffic restrictions in the partner districts and techniques to improve bearing capacity of these roads. This paper presents the results from phase I of the project, a comparison study of each road district's current policies and techniques in addressing the issues, and also briefly summarises the results of the phase II field tests, which focused on the standard and best practise structures as well as testing the different kinds of special structures utilised in the road districts. The results of the Roadex subproject "Road Condition Management" show that, in spite of similar basic problems in each partner district, each country has emphasized slightly different strategies and techniques when trying to resolve bearing capacity problems in their low traffic volume road network. For the covering abstract see ITRD E118503.
Chris Yuill - One of the best experts on this subject based on the ideXlab platform.
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A qualitative investigation of lived experiences of long-term health Condition Management with people who are food insecure
BMC public health, 2020Co-Authors: Flora Douglas, Emma Maciver, Chris YuillAbstract:As more people are living with one or more chronic health Conditions, supporting patients to become activated, self-managers of their Conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health Conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health Condition Management capability, little is known about how those so affected manage their Condition(s) in this context. An investigation of lived experience of health Condition Management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care Condition Management practices, and ii. disclosing and discussing the experience of managing their Condition with a health care professional, and iii. Notions of the support they might wish to receive from them. Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed. Individuals reporting multiple physical and mental health Conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in) visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system. This study, the first of its kind in the UK, indicated that participants’ health Condition Management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.
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A qualitative investigation of lived experiences of long-term health Condition Management with people who are food insecure
2020Co-Authors: Flora Douglas, Emma Maciver, Chris YuillAbstract:Abstract Background As more people are living with one or more chronic health Conditions, supporting patients to become activated, self-managers of their Conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health Conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health Condition Management capability, little is known about how those so affected manage their Condition(s) in this context. An investigation of lived experience of health Condition Management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care Condition Management practices, and ii. disclosing and discussing the experience of managing their Condition with a health care professional, and iii. notions of the support they might wish to receive from them. Methods Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed.Results Individuals reporting multiple physical and mental health Conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions This study, the first of its kind in the UK, indicated that participants’ health Condition Management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.
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A qualitative investigation of lived experiences of long-term health Condition Management with people who are food insecure
2020Co-Authors: Flora Douglas, Emma Maciver, Chris YuillAbstract:Abstract Background: As more people are living with one or more chronic health Conditions, supporting patients to become activated, self-managers of their Conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health Conditions have an increased risk of being food insecure. However, while international evidence outside of the UK indicates that food insecurity adversely affects individual’s health Condition Management capability, little is known about how those so affected manage their Condition(s) in this high-income country context. Methods :A qualitative investigation of lived experience of health Condition Management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care Condition Management practices, and ii. disclosing and discussing the experience of managing their Condition with a health care professional, and iii. notions of the support they might wish to receive from them. Interview audio recordings were fully transcribed and thematically analysed.Results : Twenty individuals living with a wide range of self-reported health Conditions, and being supported by a local poverty alleviation social enterprise took part. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions :This study, the first of its kind in the UK, indicated that participants’ health Condition Management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.
Ivaylo Vassilev - One of the best experts on this subject based on the ideXlab platform.
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The role of collective efficacy in long-term Condition Management: A metasynthesis.
Health & social care in the community, 2019Co-Authors: Ivaylo Vassilev, Rebecca Band, Anne Kennedy, Elizabeth James, Anne RogersAbstract:Social networks have been found to have a valuable role in supporting the Management of long-term Conditions. However, the focus on the quality and how well self-Management interventions work focus on individualised behavioural outcomes such as self-efficacy and there is a need for understanding that focuses on the role of wider collective processes in self-Management support. Collective efficacy presents a potentially useful candidate concept in the development and understanding of self-Management support interventions. To date it has mainly been utilised in the context of organisations and neighbourhoods related to social phenomena such as community cohesion. Drawing on Bandura's original theorisation this meta-synthesis explores how studies of collective efficacy might illuminate collective elements operating within the personal communities of people with long-term Conditions. A qualitative meta-synthesis was undertaken. Studies published between 1998 and 2018 that examined collective efficacy in relation to health and well-being using qualitative and mixed methods was eligible for inclusion. Timing of engagement with others, building trust in the group, and legitimising ongoing engagement with the group arised as central elements of collective efficacy. The two themes forming third order constructs were related to the presence of continuous interaction and ongoing relational work between members of the group. Collective efficacy can develop and be sustained over time in a range of situations where individuals may not have intense relationships with one another and have limited commitment and contact with one another. Extending this to the personal communities of people with long-term Conditions it may be the case that collective efficacy enables a number of engagement opportunities which can be oriented towards assisting with support from networks over a sustained length of time. This may include negotiating acceptable connections to resources and activities which in turn may help change existing practice in ways that improve long-term Condition Management.
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Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries.
PloS one, 2016Co-Authors: Ivaylo Vassilev, Anne Rogers, Anne Kennedy, Michel Wensing, Jan Koetsenruijter, Rosanna Orlando, Maria Carmen Portillo, David CullifordAbstract:Background Network types and characteristics have been linked to the capacity of inter-personal environments to mobilise and share resources. The aim of this paper is to examine personal network types in relation to long-term Condition Management in order to identify the properties of network types most likely to provide support for those with a long-term Condition. Method A cross-sectional observational survey of people with type 2 diabetes using interviews and questionnaires was conducted between April and October 2013 in six European countries: Greece, Spain, Bulgaria, Norway, United Kingdom, and Netherlands. 1862 people with predominantly lower socio-economic status were recruited from each country. We used k-means clustering analysis to derive the network types, and one-way analysis of variance and multivariate logistic regression analysis to explore the relationship between network type socio-economic characteristics, self-Management monitoring and skills, well-being, and network member work. Results Five network types of people with long-term Conditions were identified: restricted, minimal family, family, weak ties, and diverse. Restricted network types represented those with the poorest self-Management skills and were associated with limited support from social network members. Restricted networks were associated with poor indicators across self-Management capacity, network support, and well-being. Diverse networks were associated with more enhanced self-Management skills amongst those with a long-term Condition and high level of emotional support. It was the three network types which had a large number of network members (diverse, weak ties, and family) where healthcare utilisation was most likely to correspond to existing health needs. Discussion Our findings suggest that type of increased social involvement is linked to greater self-Management capacity and potentially lower formal health care costs indicating that diverse networks constitute the optimal network type as a policy in terms of the design of LTCM interventions and building support for people with LTCs.
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Brief encounters: what do primary care professionals contribute to peoples’ self-care support network for long-term Conditions? A mixed methods study
BMC family practice, 2016Co-Authors: Anne Rogers, Ivaylo Vassilev, Anne Kennedy, Helen Brooks, Christian BlickemAbstract:Background Primary care professionals are presumed to play a central role in delivering long-term Condition Management. However the value of their contribution relative to other sources of support in the life worlds of patients has been less acknowledged. Here we explore the value of primary care professionals in people’s personal communities of support for long-term Condition Management.
Malcolm Battersby - One of the best experts on this subject based on the ideXlab platform.
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Managing chronic Conditions care across primary care and hospital systems: lessons from an Australian Hospital Avoidance Risk Program using the Flinders Chronic Condition Management Program.
Australian health review : a publication of the Australian Hospital Association, 2018Co-Authors: Sharon Lawn, Malcolm Battersby, David Smith, Sara Zabeen, Ellen Wilson, Cathie Miller, Kevin MasmanAbstract:Objective The study aimed to determine the impact of the Flinders Chronic Condition Management Program for chronic Condition self-Management care planning and how to improve its use with Bendigo Health's Hospital Admission Risk Program (HARP). Methods A retrospective analysis of hospital admission data collected by Bendigo Health from July 2012 to September 2013 was undertaken. Length of stay during admission and total contacts post-discharge by hospital staff for 253 patients with 644 admissions were considered as outcome variables. For statistical modelling we used the generalised linear model. Results The combination of the HARP and Flinders Program was able to achieve significant reductions in hospital admissions and non-significant reduction in emergency department presentations and length of stay. The generalised linear model predicted that vulnerable patient groups such as those with heart disease (P=0.037) and complex needs (P
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Chronic Condition Management Models for Cancer Care and Survivorship
Cancer and Chronic Conditions, 2016Co-Authors: Sharon Lawn, Malcolm BattersbyAbstract:Improvements in the treatment of cancer have meant that the number of cancer survivors is growing. This group is now more likely to be living with the longer-term adverse effects of cancer on their overall health and wellbeing, and to develop comorbid chronic Conditions that require ongoing care in the community, beyond the cancer clinic. People with chronic Conditions are also generally living longer due to improvements in treatment, care and support options and therefore are at risk of developing cancer as they age. This chapter outlines a range of chronic Condition Management models likely to be necessary for effective self-Management support to cancer patients and survivors who suffer from and develop chronic Conditions, or have risk factors for their development, and people with chronic Conditions who also go on to develop cancer. Integrated care and communication issues across healthcare transitions are briefly discussed.
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Efficacy of the Flinders chronic Condition Management program in obese patients with hip or knee osteoarthritis: A study rationale and protocol
Australasian Medical Journal, 2016Co-Authors: Ladan Sahafi, David Smith, Kristen Georgiou, Jegan Krishnan, Malcolm BattersbyAbstract:Originally published by Australasian Medical Journal. Sahafi, L., Smith, D., Georgiou, K., Krishnan, J., & Battersby, M. (2016). Efficacy of the Flinders chronic Condition Management program in obese patients with hip or knee osteoarthritis: A study rationale and protocol. Australasian Medical Journal (Online), 9(9), 297-307.
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Barriers and enablers to good communication and information-sharing practices in care planning for chronic Condition Management
Australian journal of primary health, 2015Co-Authors: Sharon Lawn, Toni Delany, Linda Sweet, Malcolm Battersby, Timothy SkinnerAbstract:Our aim was to document current communication and information-sharing practices and to identify the barriers and enablers to good practices within the context of care planning for chronic Condition Management. Further aims were to make recommendations about how changes to policy and practice can improve communication and information sharing in primary health care. A mixed-method approach was applied to seek the perspectives of patients and primary health-care workers across Australia. Data was collected via interviews, focus groups, non-participant observations and a national survey. Data analysis was performed using a mix of thematic, discourse and statistical approaches. Central barriers to effective communication and information sharing included fragmented communication, uncertainty around client and interagency consent, and the unacknowledged existence of overlapping care plans. To be most effective, communication and information sharing should be open, two-way and inclusive of all members of health-care teams. It must also only be undertaken with the appropriate participant consent, otherwise this has the potential to cause patients harm. Improvements in care planning as a communication and information-sharing tool may be achieved through practice initiatives that reflect the rhetoric of collaborative person-centred care, which is already supported through existing policy in Australia. General practitioners and other primary care providers should operationalise care planning, and the expectation of collaborative and effective communication of care that underpins it, within their practice with patients and all members of the care team. To assist in meeting these aims, we make several recommendations.
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Obstructive sleep apnoea in adults: A common chronic Condition in need of a comprehensive chronic Condition Management approach
Sleep medicine reviews, 2013Co-Authors: Emer M. Heatley, Malcolm Battersby, Melanie Harris, R. Doug Mcevoy, Ching Li Chai-coetzer, Nick A. AnticAbstract:Obstructive sleep apnoea (OSA) is a common disorder that has all the characteristics of a chronic Condition. As with other chronic Conditions, OSA requires ongoing Management of treatments and problems, such as residual symptoms, deficits and co-morbidities. Also, many OSA patients have modifiable lifestyle factors that contribute to their disease, which could be improved with intervention. As health systems are in the process of developing more comprehensive chronic care structures and supports, tools such as chronic Condition Management programs are available to enable OSA patients and their health care providers to further engage and collaborate in health Management. This review explains why the OSA patient group requires a more comprehensive approach to disease Management, describes the chronic care model as a platform for Management of chronic Conditions, and assesses the suitability of particular chronic disease Management programs in relation to the needs of the OSA population. Implementation of an evidence-based health-professional-led chronic Condition Management program into OSA patient care is likely to provide a context in which health risks are properly acknowledged and addressed. Such programs present an important opportunity to enable more optimal health outcomes than is possible by device-focused Management alone.