Introduction to chronic diseases management model (Current)

INTRODUCTION TO CHRONIC DISEASES MANAGEMENT MODEL Assistant Professor Karunrat Tewthanom, RPh. PhD Faculty of Pharmacy, Silpakorn University This Photo by Unknown author is licensed under CC BY-ND.

Objectives This Photo by Unknown author is licensed under CC BY-NC-ND. This Photo by Unknown author is licensed under CC BY-SA. • Explain the needs of chronic diseases management • Tell the component of chronic disease management model • Explain the pharmamcists'roles in chronic disease management model • Present the chronic diseases management model under the provided conditions

Introduction: Definition of chronic disease management model and significant. Scope Components of chronic diseases management model and Expanded chronic diseases management model. Keys success factors of chronic diseases management model. Pharmacists' role in chronic diseases management model. Conclusion Questions and answers

Definition Chronic diseases are diseases of long duration and generally slow progression. The four main types of chronic diseases are ❑ cardiovascular diseases (like heart attacks and stroke) ❑ cancer ❑ chronic respiratory diseases (such as chronic obstructed pulmonary disease and asthma) ❑ Diabetes Grover A, Joshi A. An Overview of Chronic Disease Models: A Systematic Literature Review. Global Journal of Health Science. 2014;7(2).

Content of chronic diseases management model Barr V, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D et al. The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly. 2003;7(1):73-82.

Barr V, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D et al. The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly. 2003;7(1):73-82.

Expanded chronic care model Barr V, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D et al. The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly. 2003;7(1):73-82.

Health System and Community Develop personal Re-orient health Health System and Create supportive Strengthen skill services Community environment community action Build healthy public policy This Photo by Unknown author is licensed under CC BY.

Self-management/ Develop personal skill • Smoking cessation • Diet • Exercise

Delivery system design/ Re-orient Health Service This Photo by Unknown author is licensed under CC BY-SA.

Decision support This Photo by Unknown author is licensed under CC BY-NC. This Photo by Unknown author is licensed under CC BY-SA.

Information system This Photo by Unknown author is licensed under CC BY.

Build healthy public policy This Photo by Unknown author is licensed under CC BY-SA. This Photo by Unknown author is licensed under CC BY-SA-NC.

Create supportive environment This Photo by Unknown author is licensed under CC BY. This Photo by Unknown author is licensed under CC BY.

Strengthen community action This Photo by Unknown author is licensed under CC BY-SA-NC. This Photo by Unknown author is licensed under CC BY.

Example of chronic diseases management model Barr V, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D et al. The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly. 2003;7(1):73-82.

Thailand chronic diseases management model in community phamacy 01 02 03 Model 1 : Stock and prepare drugs Model 2: Stock the medication by Model 3 Stock and prepare for individual patients by the pharmacy drug for individual patients by hospital and sent to pharmacy pharmacy

International chronic diseases management model https://www.murrayphn.org.au/wp-content/uploads/2017/06/Chronic-disease-management-model-of-care-evidence- summary_May-2017.pdf

International chronic diseases management model https://www.murrayphn.org.au/wp-content/uploads/2017/06/Chronic-disease-management-model-of-care-evidence-summary_May-2017.pdf

International chronic diseases management model https://www.murrayphn.org.au/wp-content/uploads/2017/06/Chronic-disease-management-model-of-care-evidence-summary_May-2017.pdf

Factors affecting success chronic diseases management model This Photo by Unknown author is licensed under CC BY-NC-ND.

Factors affecting success chronic This Photo by Unknown author is licensed under CC BY-SA-NC. diseases management model • Develop personal skill • Re-orient health services • Build healthy public policy • Create supportive environment • Strengthen community action

Factors affecting success chronic diseases management model Size This Photo by Unknown author is licensed under CC BY-SA.

Factors affecting success chronic diseases management model simplicity

Factors affecting success chronic diseases management model Patient focus This Photo by Unknown author is licensed under CC BY-NC-ND.

Factors affecting success chronic diseases management model data transparency This Photo by Unknown author is licensed under CC BY-NC. This Photo by Unknown author is licensed under CC BY-SA.

This Photo by Unknown author is licensed under CC BY-SA-NC. This Photo by Unknown author is licensed under CC BY-SA. This Photo by Unknown author is licensed under CC BY-SA. Factors affecting success chronic diseases management model • incentives

Factors affecting success chronic diseases management model https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-to-design-a-successful-disease-management-program#

Pharmacists' role in chronic diseases management model medication management This Photo by Unknown author is licensed under CC BY-SA.

Pharmacists' role in chronic diseases management model medication reconciliation This Photo by Unknown author is licensed under CC BY-NC.

Pharmacists' role in chronic diseases management model preventive care services This Photo by Unknown author is licensed under CC BY-SA. This Photo by Unknown author is licensed under CC BY-SA-NC.

Pharmacists' role in chronic diseases management model • educational and behavioral counseling This Photo by Unknown author is licensed under CC BY-SA.

Pharmacists' role in chronic diseases management model • collaborative care models part This Photo by Unknown author is licensed under CC BY-NC-ND.

Conclusion This Photo by Unknown author is licensed under CC BY-SA. Content of chronic disease management model ❑ Health system organization of healthcare ❑ Selfmanagement support ❑ Decision support ❑ Delivery system design ❑ Clinical information system ❑ Community resources and policy

Conclusion Content of expanded chronic disease management model ❑ Self-management develop personal skill ❑ Decision support ❑ Delivery system design/ re-oriented health sevices ❑ Information system ❑ Community resources and policy ❑ Building healthy public policy ❑ Create supportive environment ❑ Strengthen community action

Conclusion Factors affecting success chronic diseases management model ❑Develop personal skill ❑Re-orient health services ❑Build healthy public policy ❑Create supportive environment ❑Strengthen community action

Conclusion SIZE SIMPLICITY PATIENT FOCUS DATA TRANSPARENCY INCENTIVES

Conclusion Pharmacists' role ❑ medication management ❑ medication reconciliation ❑ preventive care services ❑ educational and behavioral counseling ❑ collaborative care models part

References • Alwan, A. (2011) Global Status Report on Noncommunicable Diseases 2010. World Health Organization, Geneva. • Barr, V., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D. and Salivaras, S., 2003. The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly, 7(1), pp.73-82. • Brandt S, Hartmann J, Hehner S. [Internet]. 2020 [cited 22 July 2020]. Available from: https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-to-design-a-successful-disease-management-program • Curry S, Grothaus L, McAfee T, Pabiniak C. Use and Cost Effectiveness of Smoking-Cessation Services under Four Insurance Plans in a Health Maintenance Organization. New England Journal of Medicine. 1998;339(10):673-679. • Flannery F, Adams D, O'Connor N. A Community Mental Health Service Delivery Model: Integrating the Evidence Base Within Existing Clinical Models. Australasian Psychiatry. 2011;19(1):49-55. • Grover A, Joshi A. An Overview of Chronic Disease Models: A Systematic Literature Review. Global Journal of Health Science. 2014;7(2). • [Internet]. Nacds.org. 2020 [cited 22 July 2020]. Available from: https://www.nacds.org/pdfs/comm/2014/pharmacist-role.pdf • Smith M. Pharmacists' Role in Improving Diabetes Medication Management. Journal of Diabetes Science and Technology. 2009;3(1):175-179. • Tosanguan J, Chaiyakunapruk N. Cost-effectiveness analysis of clinical smoking cessation interventions in Thailand. Addiction. 2015;111(2):340-350. • Wagner E, Davis C, Schaefer J, Von Korff M, Austin B. A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature?. Journal of Nursing Care Quality. 2002;16(2):67-8.