Chronic & Complex Care
Innovations in improving delivering care for patients with a chronic and/or complex condition.
Includes Cardiovascular disease, Diabetes, Arthritis, Cancers, Chronic lung disease, Chronic neurological disorders, renal disease, mental health.
It is divided in to these subheadings:
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Care Coordination
Integrated services / community partnerships - community options, Health at Home teams, transitional care.
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Disease Management
Treatment and acute care, complications management, rehabilitation.
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Improving Health
Reducing complications, prevention interventions, risk and protective factors (diet, exercise, tobacco, alcohol), identify patients at risk.
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Patient Self Management
Patient self management of existing disease, eg self management of asthma, diabetes, heart failure, etc.
