Patrick Timpel, Kristin Kemple, Caroline Lang and Peter Schwarz
Technische Universitaet Dresden, Germany
Posters & Accepted Abstracts: J Diabetes Metab
Most current care models and treatment guidelines are disease-focused (sectored medical care) and do not include specific instructions on how to prioritise diabetes treatment relative to that of other comorbidities, the functional status of patients and the social dimensions of health. Based on a state of the art assessment, which provided knowledge and evidence on existing disease management models and on the needs of older people with diabetes mellitus, a new chronic care model was developed. Combining systematic research on global chronic care programs, a survey to identify the unmet needs of diabetic patients, needs analysis from health professionalsâ?? perspectives and a strength-weakness analysis of the Ed Wagner Chronic Care Model, the study group identified and merged relevant key dimensions for the new model. The developed model covers both health- and well-being-related aspects in the treatment and care of ageing patients. The MANAGE CARE MODEL includes aspects of the social system, resources derived from the living environment of citizens, aspects of health promotion and prevention, assessment-based care planning and an expanded understanding of improved outcomes addressing awareness, understanding and motivation as an integral part of chronic care management. The MANAGE CARE MODEL provides an integrated, team- and patient-centred approach to the complex treatment and care of elderly with type 2 diabetes mellitus and associated comorbidities as an example for the development of chronic care models for other chronic conditions. This framework provides innovative guidance for the development of chronic care programs, regional networks and national strategies.
Email: Patrick.Timpel@tu-dresden.de
