Abstract

Many countries are exploring innovative approaches to redesign delivery systems to provide appropriate support to people with long-standing health problems. Central to these efforts to enhance chronic care are approaches that seek to better bridge the boundaries between professions, providers and institutions, but, as this study clearly demonstrates, countries have adopted differing strategies to design and implement such approaches.

This book systematically examines experiences of 12 countries in Europe, using an explicit comparative approach and a unified framework for assessment to better understand the diverse range of contexts in which new approaches to chronic care are being implemented, and to evaluate the outcomes of these initiatives.

The study focuses in on the content of these new models, which are frequently applied from different disciplinary and professional perspectives and associated with different goals and does so through analyzing approaches to self-management support, service delivery design and decision-support strategies, financing, availability and access. Significantly, it also illustrates the challenges faced by individual patients as they pass through the system.

This book complements the earlier published study Assessing Chronic Disease Management in European Health Systems; it builds on the findings of the DISMEVAL project (Developing and validating DISease Management EVALuation methods for European health care systems), led by RAND Europe and funded under the European Union’s (EU) Seventh Framework Programme (FP7) (Agreement no. 223277).

Contents

• List of abbreviations
• 1. Introduction
  • 1.1. Introduction
  • 1.2. Summary overview of findings from Volume I
  • 1.3. Methods
  • 1.4. Structure of country reports
• 2. Austria
  Andreas Sönnichsen, Maria Flamm, and Ellen Nolte.
  • 2.1. The health care system
  • 2.2. Approaches to chronic disease management
  • 2.3. A patient journey
  • 2.4. Summary and conclusion
• 3. Denmark
  Anne Frølich, Ramune Jacobsen, and Cécile Knai.
  • 3.1. The health care system
  • 3.2. Approaches to chronic disease management
  • 3.3. A patient journey
  • 3.4. Summary and conclusion
• 4. England
  Ellen Nolte, Laura Brereton, Cécile Knai, and Martin Roland.
  • 4.1. The health care system
  • 4.2. Approaches to chronic disease management
  • 4.3. A patient journey
  • 4.4. Summary and conclusion
• 5. Estonia
  Taavi Lai and Cécile Knai.
  • 5.1. The health care system
  • 5.2. Approaches to chronic disease management
  • 5.3. A patient journey
  • 5.4. Summary and conclusion
• 6. France
  Karine Chevreul, Matthias Brunn, Isabelle Durand-Zaleski, Fadila Farsi, Cécile Knai, and Ellen Nolte.
  • 6.1. The health care system
  • 6.2. Approaches to chronic disease management
  • 6.3. A patient journey
  • 6.4. Summary and conclusion
• 7. Germany
  Antje Erler, Birgit Fullerton, and Ellen Nolte.
  • 7.1. The health care system
  • 7.2. Approaches to chronic disease management
  • 7.3. A patient journey
  • 7.4. Summary and conclusion
• 8. Hungary
  Peter Gaál, Márton Csere, Annalijn Conklin, and Ellen Nolte.
  • 8.1. The health care system
  • 8.2. Approaches to chronic disease management
  • 8.3. A patient journey
  • 8.4. Summary and conclusion
• 9. Italy
  Walter Ricciardi, Antonio Giulio de Belvis, Maria Lucia Specchia, Luca Valerio, and Ellen Nolte.
  • 9.1. The health care system
  • 9.2. Approaches to chronic disease management
  • 9.3. A patient journey
  • 9.4. Summary and conclusion
• 10. Latvia
  Taavi Lai, Maris Taube, and Cécile Knai.
  • 10.1. The health care system
  • 10.2. Approaches to chronic disease management
  • 10.3. A patient journey
  • 10.4. Summary and conclusion
• 11. Lithuania
  Taavi Lai, Liubove Murauskiene, Maria Veniute, and Cécile Knai.
  • 11.1. The health care system
  • 11.2. Approaches to chronic disease management
  • 11.3. A patient journey
  • 11.4. Summary and conclusion
• 12. The Netherlands
  Arianne M.J. Elissen, Inge G.P. Duimel-Peeters, Cor Spreeuwenberg, Hubertus J.M. Vrijhoef, and Ellen Nolte.
  • 12.1. The health care system
  • 12.2. Approaches to chronic disease management
  • 12.3. A patient journey
  • 12.4. Summary and conclusion
• 13. Switzerland
  Isabelle Peytremann-Bridevaux, Bernard Burnand, Ignazio Cassis, and Ellen Nolte.
  • 13.1. The health care system
  • 13.2. Approaches to chronic disease management
  • 13.3. A patient journey
  • 13.4. Summary and conclusion
• References