Abstract
Community-based care (C-bC) constitutes an important element of the chronic disease management programs. The design and management of C-bC systems requires the development of new resources and services, the assessment and reorganization of the existing services/facilities as well as the design of interventions. Quantitative decision models can play a major role for helping care providers and policy makers in this context. We present a systematic view of C-bC and provide selective examples of quantitative decision models developed for various chronic diseases. We outline the building blocks of C-bC systems as well as the distinguishing features of these systems that need to be incorporated in quantitative decision models. Then, we present three representative and diverse examples of prevailing quantitative approaches for managing C-bC. Finally, we discuss some avenues for future research.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Anderson C, Rubenach S, Mhurchu CN et al. (2000) Home or hospital for stroke rehabilitation? Results of a randomized trial. Stroke 31:1024–1031
Bodenheimer T, Wagner EH, Grumbach K (2002) Improving primary care for patients with chronic illness: the chronic care model, Part 2. J Am Med Assoc 288(15):1909–1914
Brandeau ML, Sainfort F, Pierskalla WP (2004) Operations research and health care: a handbook of methods and applications. Kluwer’s International Series. Kluwer Academic, Boston
Casalino LP (2005) Disease management and the organization of physician practice. J Am Med Assoc 293:485–488
CDC (2007) Statistics on disease conditions. Center of Disease Control, Atlanta, GA
CIHI (2011) Health care in Canada 2010, Canadian Institute for Health Information. http://secure.cihi.ca/cihiweb/products/HCIC_2010_Web_e.pdf. Accessed 9 Aug 2011
Deo S, Iravani S, Jingo T, Smilowitz K, Samuelson S (2010) Improving access to community-based chronic care through improved capacity allocation. Working paper. http://ssrn.com/abstract=1700909
Dombovy ML, Sandok BA, Basford JR (1986) Rehabilitation of stroke: a review. Stroke 17(3):363–369
Gask L, Sibbald B, Creed F (1997) Evaluating models of working at the interface between mental health services and primary care. Br J Psychiatry 170:6–11
Greenfield S, Kaplan SH, Kahn R et al. (2002) Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med 36(2):111–121
Hindmarsh M (2008) The chronic care model. The first Canadian healthcare conference, April 2008
Hollander MJ, Pallan P (1995) The British Columbia continuing care system: service delivery and resource planning. Aging 7(2):94–109
Improving Chronic Illness Care (2007) http://www.improvingchroniccare.org/about/workwith.html. Accessed 14 Nov 2008
Indiana State Department of Health (2005) http://www.indianacdmprogram.com/Chronicnewsrelease.pdf. Accessed 10 July 2011
Jones C, Clement L, Morphew T, Kwong K, Hanley-Lopez J, Lifson F, Opas L, Guterman J (2007) Achieving and maintaining asthma control in an urban pediatric disease management program: the breathmobile program. J Allergy Clin Immunol 119(6):1445–1145
Kucukyazici B, Verter V, Mayo N (2011) An analytical framework for designing community-based care delivery processes for chronic diseases. Prod Oper Manag 20(3):474–488
Kucukyazici B, Verter V, Nadeau L, Mayo N (2009) Improving post-stroke health outcomes: can facilitated care help? Health Policy 93:180–187
Leff S, Dada M, Graves S (1986) An LP planning model for a mental health community support system. Manag Sci 32(2):139–155
Lin F, Kong N, Lawley M (2011) Capacity planning for publicly funded community based long-term care services. In: Johnson M (ed) Community-based operations research: introduction, theory and applications. Springer, New York
Mayo NE, Wood-Dauphinee S, Côté R (2000) There’s no place like home: an evaluation of early supported discharge for stroke. Stroke 31:1016–1023
McDonald HP, Garg AX, Haynes RB (2002) Interventions to enhance patient adherence to medication prescriptions: scientific review. J Am Med Assoc 288:2868–2879
McGonigle JJ, Krouk M, Hindmarsh D, Campano-Small C (1992) Understanding partial hospitalization through a continuity-of-care model. Int J Partial Hosp 8(2):135–140
PHAC (2007) Canadian report on chronic diseases. Public Health Agency of Canada, Ottawa, ON
Renders CM, Valk GD, Griffin SJ et al. (2001) Interventions to improve the management of diabetes in primary care, outpatient, and community. Diabetes Care 24:1821–1833
Robles SC (2004) A public health framework for chronic disease prevention and control. Food Nutr Bull 25(2):194–199
Rothman AA, Wagner EH (2003) Chronic illness management: what is the role of primary care? Ann Intern Med 138:256–261
Schwamm LH, Pancioli A, Acker JE et al. (2005) Recommendations for the establishment of stroke systems of care. Stroke 36:690–703
Simon GE (2002) Evidence review: efficacy and effectiveness of anti-depressant treatment in primary care. Gen Hosp Psychiatry 24:213–224
Singh D, Ham C (2006) Improving care for people with long-term conditions: the review of UK and international frameworks. Report of NHS institute for innovation and improvement primary care/long term conditions program. http://www.improvingchroniccare.org/downloads/review_of_international_frameworks__chris_hamm.pdf. Accessed 7 Jan 2011
Smith G, O’Keefe J, Carpenter L, Doty P, Kennedy G, Burwell B, Mollica R, Williams L (2000) Understanding medicaid home and community services: a primer. U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation, Washington DC
Stone R (2000) Long-term care for the elderly with disabilities: current policy, emerging trends, and implications for the twenty-first century. Milbank Memorial Fund, New York
Stuart M, Weinrich M (2001) Home and community based long-term care: lessons from Denmark. Gerontologist 41:474–480
Temmink D, Hutten JB, Francke AL et al. (2001) Rheumatology out-patient nurse clinics: a valuable addition? Arthritis Rheum 45:280–286
Teng J, Mayo NE, Latimer E et al. (2003) Costs and caregiver consequences of early supported discharge for stroke patients. Stroke 34:528–536
The Kaiser Commission on Medicaid and the Uninsured (2009) Kaiser: Medicaid: a primer. http://www.k_.org/medicaid/upload/7334-03.pdf
The Kaiser Family Foundation (2009) Kaiser: health care costs: a primer
Thornicroft G, Tansella M (1999) Translating ethical principles into outcome measures for mental health service research. Psychol Med 29:761–767
Thornicroft G, Tansella M (2003) What are the arguments for community-based mental health care? WHO regional office for Europe, health evidence network report, Copenhagen
Tsai AC, Morton SC, Mangione CM, Keeler EB (2005) A meta-analysis of interventions to improve care for chronic illnesses. Am J Manag Care 11(8):478–488
Von Korff M, Goldberg D (2001) Improving outcomes in depression: the whole process of care needs to be enhanced. Br Med J 323:948–949
Wagner EE, Austin BT, Connie D et al. (2001) Improving chronic illness care: translating evidence to action. Health Aff 20(6):64–78
Wagner EH (1998) Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1:2–4
Wellingham J, Tracey J, Rea H, Gribben B (2003) The development and implementation of the Chronic Care Management Programme in Counties Manukau. J N Z Med Assoc 116:1169–1175
Wennberg J, Gittelsohn A (1982) Variations in medical care among small areas. Sci Am 246:120–134
WHO (2002) Innovative care for chronic conditions: building blocks for action. World Health Organization, Geneva
Ziguras SJ, Stuart GW, Jackson AC (2002) Assessing the evidence on case management. Br J Psychiatry 181:17–21
Ziguras SJ, Stuart GW (2000) A meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatr Serv 51:1410–1421
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Kucukyazici, B., Verter, V. (2013). Managing Community-based Care for Chronic Diseases: The Quantitative Approach. In: Zaric, G. (eds) Operations Research and Health Care Policy. International Series in Operations Research & Management Science, vol 190. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6507-2_4
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6507-2_4
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6506-5
Online ISBN: 978-1-4614-6507-2
eBook Packages: Business and EconomicsBusiness and Management (R0)