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Disease management: effectiveness and implementation

English title Disease management: effectiveness and implementation
Applicant Peytremann Bridevaux Isabelle
Number 139789
Funding scheme Ambizione
Research institution Institut Universitaire de Médecine Sociale et Préventive - IUMSP CHUV et Université de Lausanne
Institution of higher education University of Lausanne - LA
Main discipline Public Health and Health Services
Start/End 01.01.2012 - 31.12.2013
Approved amount 403'266.00
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Keywords (12)

disease management; chronic diseases; quality of care; delivery of healthcare; systematic review; evaluation studies; evaluation studies; disease management; delivery of healthcare; systematic review; quality of care; chronic diseases

Lay Summary (English)

Lead
Lay summary

Worldwide, chronic diseases constitute a major burden for communities in terms of morbidity, disability and mortality. Chronic disease management (CDM) strategies have been developed as a means of reorganizing healthcare systems and medical treatment for chronic diseases. They are centered on patient's needs, based on formal evidence of effectiveness, foster the coordination and the integration of health services provided by various professionals, promote the self-management by the patient and, more generally, aim at improving communication between patients and healthcare providers.

A wider implementation of CDM programs is appealing. However, while single components of CDM programs can improve quality of care of chronic diseases, it remains unclear how much each component is essential and which combination of elements brings the greatest benefit to patients. In addition, the implementation of CDM in real life remains challenging. The proposed research plan should enable the continuation of the development and evaluation of chronic disease management, both in Switzerland and elsewhere.

The two-year research proposal for the PROSPER prolongation (2012-2013) targets the following objectives:

1) To assess the quality of care of diabetic patients residing in the canton of Vaud, within the context of the development of the “Programme cantonal Diabète”;

2) To validate the French version of the PACIC questionnaire, used to assess how care for diabetic patients is congruent with the “Chronic Care Model” recommendations;

3) To assess the effectiveness of the “Programme cantonal Diabète”, as well as the impact of exposure to CDM components, using a prospective cohort study;

4) To continue to collaborate with regional as well as national and international partners within the field of chronic disease management.

It is of utmost importance to address CDM approaches to improve chronic illness care. This is why interest for CDM research activities is continuing to grow, both in Switzerland and elsewhere. However, in an innovative field of research characterized by differences in healthcare contexts, study designs and populations, intervention components, measures selected and duration of interventions and follow-up, just to mention a few, it remains challenging to implement and evaluate CDM. Therefore, room for further improvement, research and development in the field of CDM still exists.

It is important to emphasize the importance, in the current Swiss healthcare context, of continuing to support and help develop independent research in the field of CDM. Indeed, a thorough evaluation of the Swiss situation may be paramount and valuable not only for existing programs, but also for institutions such as academic medical centers, practicing physicians and other care providers, patients and policy makers. Recommendations and suggestions eventually provided by these projects could be extremely useful for the implementation of CDM programs in Switzerland. This is particularly true because Switzerland presents some characteristics that may hinder the development of such innovations. In that context, it is essential to create a role model. Gradual implementation and start with pilot studies in a few cantons, focusing on few diseases, as well as evaluations of current projects represent necessary steps.

The proposed prolongation projects have broad potential applications for improving care of people suffering from chronic diseases. Given the potential benefits on population outcomes, the rewards of such interventions maybe significant in terms of health and cost burden due to chronic conditions.

 

Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
Adding non-randomised studies to a Cochrane review brings complementary information for healthcare stakeholders: an augmented systematic review and meta-analysis
Chantal Arditi Bernard Burnand Isabelle Peytremann-Bridevaud (2016), Adding non-randomised studies to a Cochrane review brings complementary information for healthcare stakeholders: an augmented systematic review and meta-analysis, in BMC Health Serv Res, 16, 598.
Association between education and quality of diabetes care in Switzerland
Aline Flatz Alejandra Casillas Silvia Stringhini Emilie Zuercher Bernard Burnand Isabelle Peytr (2015), Association between education and quality of diabetes care in Switzerland, in In t Gen Med, 8, 87-92.
Chronic disease management for adults with asthma
Isabelle Peytremann-Bridevaux Chantal Arditi Gregoire Gex Pierre-Olivier Bridevaux Bernard Burn (2015), Chronic disease management for adults with asthma, in Cochrane Database Syst Rev, 5, CD007988.
CoDiab-VD: protocol of a prospective population-based cohort study on diabetes care in Switzerland
Emilie Zuercher Julie Bordet Bernard Burnand Isabelle Peytremann-Bridevaux (2015), CoDiab-VD: protocol of a prospective population-based cohort study on diabetes care in Switzerland, in BMH Health Serv Res, 15, 329.
Involvment of family physicians in structured programs for chronic diseases or multi-morbidity in Switzerland
Isabelle Peytremann-Bridevaux Sonja Ebert Nicolas Senn (2015), Involvment of family physicians in structured programs for chronic diseases or multi-morbidity in Switzerland, in Eur J Int Med, 26, 150-151.
No consistent association between processes-of-care and health.related quality of life among pateints with diabetes: a missing link?
Alejandra Casillas Katia Iglesias Bernard Burnand Isabelle Peytremann-Bridevaux (2015), No consistent association between processes-of-care and health.related quality of life among pateints with diabetes: a missing link?, in BMJ Open Diabetes Res Care, 3, e000042.
Baseline data of population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
Emilie Zuercher Alejandra Casillas Isabelle Hagon-Traub Bernard BurnIsabelle Peytremann-Bridevaud (2014), Baseline data of population-based cohort of patients with diabetes in Switzerland (CoDiab-VD), in Swiss Med Wkly, 26, w13951.
Mortality of patients with COPD participating in chronic disease management programmes: a happy end?
Peytremann-Bridevaux I Patrick Taffe Bernard Burnand Milo Puhan (2014), Mortality of patients with COPD participating in chronic disease management programmes: a happy end?, in Thorax, 69, 865-866.
Reproducibility of diabetes quality of care indicators as reported by patients and physicians
TH Collet Patrick Taffe Julie Bordet Bernard Burnand Isabelle Peytremann-Bridevaux (2014), Reproducibility of diabetes quality of care indicators as reported by patients and physicians, in Eur J Public Health, 24, 1003-1008.
Revisiting published validation models while exploring the structure of the French version of the Patient Assessment of Chronic Illness Care (PACIC) instrument
Katia Iglesias K Bernard Burnand Isabelle Peytremann-Bridevaux (2014), Revisiting published validation models while exploring the structure of the French version of the Patient Assessment of Chronic Illness Care (PACIC) instrument, in Int J Qual Health Care, 26, 250-260.
[Implementation of a diabetes disease management program in Switzerland: patients' and healthcare professionals' point of view].
Lauvergeon S, Burnand B, Peytremann-Bridevaux I (2013), [Implementation of a diabetes disease management program in Switzerland: patients' and healthcare professionals' point of view]., in Revue d'épidémiologie et de santé publique, 61(5), 475-84.
Community-based pharmacies: an opportunity to recruit patients?
Peytremann-Bridevaux Isabelle, Bordet Julie, Santschi Valérie, Collet Tinh-Hai, Eggli Marc, Burnand Bernard (2013), Community-based pharmacies: an opportunity to recruit patients?, in International journal of public health, 58(2), 319-22.
Diabetes care in Switzerland: good, but perfectible: a population-based cross-sectional survey.
Peytremann-Bridevaux Isabelle, Bordet Julie, Burnand Bernard (2013), Diabetes care in Switzerland: good, but perfectible: a population-based cross-sectional survey., in BMC health services research, 13, 232-232.
Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders.
Lauvergeon Stéphanie, Burnand Bernard, Peytremann-Bridevaux Isabelle (2012), Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders., in BMC health services research, 12, 176-176.
Convergences and divergences of diabetic patients' and healthcare professionals' opinions of care: a qualitative study.
Lauvergeon Stéphanie, Mettler Désirée, Burnand Bernard, Peytremann-Bridevaux Isabelle (2012), Convergences and divergences of diabetic patients' and healthcare professionals' opinions of care: a qualitative study., in Health expectations : an international journal of public participation in health care and health pol, ---.
Diabetes care: Opinions, needs and proposed solutions of Swiss patients and healthcare professionals: a qualitative study.
Peytremann-Bridevaux I, Lauvergeon S, Mettler D, Burnand B (2012), Diabetes care: Opinions, needs and proposed solutions of Swiss patients and healthcare professionals: a qualitative study., in Diabetes research and clinical practice, 97(2), 242-50.
Reply to the letter to the editor "Freedom of choice"
Peytremann-Bridevaux Isabelle, Ruffieux Christiane, Burnand Bernard (2012), Reply to the letter to the editor "Freedom of choice", in Swiss Medical Weekly, 142(MARCH), ---.

Awards

Title Year
Swiss School of Public Health Plus (SSPH+) Assistant Professorship grant in August 2013 2013

Associated projects

Number Title Start Funding scheme
123817 Disease management: effectiveness and implementation 01.01.2009 Ambizione

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