Care Integration for the Management of Chronic Diseases within Primary Health Care

A special issue of Diseases (ISSN 2079-9721).

Deadline for manuscript submissions: 31 January 2025 | Viewed by 857

Special Issue Editor


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Guest Editor
Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece
Interests: primary health care and family medicine; quality management; migrant health; formulation of guidelines for management of common disease and chronic conditions; cardiovascular disease; gastroenterology and mental health
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Special Issue Information

Dear Colleagues,

The COVID-19 pandemic revealed that enhancing the role of primary care is crucial in managing chronic diseases effectively. The crisis called for integrated interventions to focus on strengthening primary care services by providing adequate resources, training, and support for primary care providers. Primary care or better primary health care were also strengthened by establishing effective integrated care pathways with public health, social care, and mental health.  Involving primary care in the discussion with other healthcare and social care sectors to work on care plans tailored to specific chronic diseases jointly can improve the delivery of comprehensive and coordinated care seems, a current challenge.

This Specific Issue will focus on original papers that report integrated interventions that intend to strengthen primary care.

This can be achieved by:

  • Implementing care protocols, guidelines, and decision support tools, promoting team-based care, and facilitating seamless referral systems between primary care and specialty care;
  • Promoting care coordination and case management. Integrated interventions can prioritize care coordination and case management to ensure transitions between healthcare settings and providers. In the post-COVID-19 period, the concept of transformation has been emerged in the literature and it has high attention. Papers that address integrating intervention to improve coordination between primary care, social care, and mental health will receive a high priority.
  • Focusing on integrated health information systems. Effective integration of health information systems is essential for improving the management of chronic diseases. The issue of interoperability among different electronic health record systems and several classifications available in primary care deserves high levels of attention.
  • Investing the workforce in terms of enhancing its capacity and resilience to implement integrated care approaches;
  • Exploring effective collaborative networks and partnerships to promote integration in primary care. Integrated interventions can promote collaboration among different stakeholders involved in chronic disease management.

Patient engagement and self-management could not be discussed within the framework of this Special Issue despite it being a key element of any action to promote integrated primary care. These types of papers may overlap with others SI from different journals to address empowerment and patient-centered care, with a focus on behavioral change.

The following questions could guide existing research to respond to the content of this specific issue:

  1. What types of integrated care models are suitable and appropriate for managing chronic diseases within primary health care, with a particular focus on governance and payment systems?
  2. To what extent do digital tools contribute to the facilitation of care integration for the management of chronic diseases within primary health care?
  3. What methodologies and procedures hold the potential for effectively implementing integrated care models in primary health care, emphasizing process and outcome evaluation?
  4. What factors serve to either facilitate or hinder the implementation of integrated care for chronic disease management within primary health care?
  5. What challenges does the healthcare workforce encounter when endeavoring to implement integrated care approaches?
  6. Which training programs and educational interventions have proven effective in implementing integrated care models within primary health care?

Prof. Dr. Christos Lionis
Guest Editor

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Keywords

  • chronic diseases
  • management of chronic diseases
  • health care
  • primary care
  • public health

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Published Papers (1 paper)

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13 pages, 975 KiB  
Systematic Review
Impact of School Nurse on Managing Pediatric Type 1 Diabetes with Technological Devices Support: A Systematic Review
by Giovanni Cangelosi, Stefano Mancin, Sara Morales Palomares, Paola Pantanetti, Elisabetta Quinzi, Giulia Debernardi and Fabio Petrelli
Diseases 2024, 12(8), 173; https://doi.org/10.3390/diseases12080173 - 1 Aug 2024
Viewed by 363
Abstract
Introduction: Type 1 diabetes (T1D) is a disease that primarily occurs in pediatric populations. A school nurse (SN) can provide valuable support in the school setting for minors affected by this condition. Methods: The main objective of this study was to evaluate the [...] Read more.
Introduction: Type 1 diabetes (T1D) is a disease that primarily occurs in pediatric populations. A school nurse (SN) can provide valuable support in the school setting for minors affected by this condition. Methods: The main objective of this study was to evaluate the impact of nursing care provided to adolescents and children with T1D using technological devices in school. Qualitative and quantitative outcomes considered in the included studies were collected and discussed. A systematic review was conducted in the PubMed, CINAHL, and Scopus databases and reported thought the PRISMA guidelines. Results: Eleven studies were included. The results showed that SNs need to enhance both their skills and organization to effectively manage young patients with T1D using technology. The response of both the pediatric population and their caregivers to the disease management by a SN has been positive. Conclusions: The management of chronic diseases is one of the most urgent public health issues, especially for Western healthcare systems. Proper management of patients with T1D at the school level is definitely an aspect that policymakers and healthcare managers should consider to improve the quality of life of this extremely vulnerable population, particularly those using technological management T1D. Full article
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