Inventory and perspectives of chronic disease management programs in Switzerland: an exploratory survey.

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serval:BIB_3A6D195F74DB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Inventory and perspectives of chronic disease management programs in Switzerland: an exploratory survey.
Journal
International Journal of Integrated Care
Author(s)
Peytremann Bridevaux Isabelle, Burnand Bernard
ISSN
1568-4156[electronic]
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
9
Pages
e93
Language
english
Notes
Free article: http://www.ijic.org/?000511
Abstract
OBJECTIVE: To describe chronic disease management programs active in Switzerland in 2007, using an exploratory survey. METHODS: We searched the internet (Swiss official websites and Swiss web-pages, using Google), a medical electronic database (Medline), reference lists of pertinent articles, and contacted key informants. Programs met our operational definition of chronic disease management if their interventions targeted a chronic disease, included a multidisciplinary team (>/=2 healthcare professionals), lasted at least six months, and had already been implemented and were active in December 2007. We developed an extraction grid and collected data pertaining to eight domains (patient population, intervention recipient, intervention content, delivery personnel, method of communication, intensity and complexity, environment, clinical outcomes). RESULTS: We identified seven programs fulfilling our operational definition of chronic disease management. Programs targeted patients with diabetes, hypertension, heart failure, obesity, psychosis and breast cancer. Interventions were multifaceted; all included education and half considered planned follow-ups. The recipients of the interventions were patients, and healthcare professionals involved were physicians, nurses, social workers, psychologists and case managers of various backgrounds. CONCLUSIONS: In Switzerland, a country with universal healthcare insurance coverage and little incentive to develop new healthcare strategies, chronic disease management programs are scarce. For future developments, appropriate evaluations of existing programs, involvement of all healthcare stakeholders, strong leadership and political will are, at least, desirable.
Pubmed
Create date
30/12/2009 11:35
Last modification date
20/08/2019 13:30
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