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Community Care and Chronic Care
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Community Care and Chronic Care

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 July 2022) | Viewed by 4299

Special Issue Editors

Prof. Dr. Michiko Moriyama

E-Mail Website
Guest Editor
Division of Nursing Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Interests: nursing; community health nursing; care management; public health; health care system
Prof. Dr. Paul Lillrank

E-Mail Website
Guest Editor
Department of Industrial Engineering and Management, Aalto University, FI-00076 Aalto, Finland
Interests: healthcare operations management; health systems science; quality management; service research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Globally, due to changes in the disease structures linked to chronic diseases, as well as an increase in the number of people with multiple conditions and the complexity of people’s needs related to aging, countries are finding it challenging to develop integrated community care systems in which healthcare and living support are comprehensively provided. Based on this, transitioning care, assessment, and management of people with complex needs from hospital to community is indispensable, as are disease management, prevention of frailty, home healthcare, and primary care. Changes in service call for structural changes on the service supply side. Additionally, as health services in most countries operate under financial constraints, cost effectiveness is an overall concern when it comes to reforming healthcare delivery systems.

This Special Issue invites empirical and theoretical articles that describe, explore, analyze, and discuss the phenomena and problems associated with community care and chronic care. The research problems include but are not limited to the following:

  • Population health;
  • Integrated care system;
  • Fragmentation of care;
  • Frailty;
  • Transition care;
  • Care management;
  • Primary care;
  • Chronic care;
  • Noncommunicable diseases;
  • Nursing.

Prof. Dr. Michiko Moriyama
Prof. Dr. Paul Lillrank
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • population health
  • integrated care system
  • fragmentation of care
  • frailty
  • transition care
  • care management
  • primary care
  • chronic care
  • noncommunicable diseases
  • nursing

Published Papers (2 papers)

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Research

12 pages, 906 KiB  
Article
Community-Based Advanced Case Management for Patients with Complex Multimorbidity and High Medical Dependence: A Longitudinal Study
by Kana Kazawa and Michiko Moriyama
Int. J. Environ. Res. Public Health 2022, 19(13), 7807; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19137807 - 25 Jun 2022
Viewed by 1306
Abstract
This longitudinal study aimed to evaluate a community-based and nurse-led advanced case management model centered on disease management. Participants were chronically ill patients aged 20 years and older who were highly dependent on medical care. The case management group (CMG) received nurse-led advanced [...] Read more.
This longitudinal study aimed to evaluate a community-based and nurse-led advanced case management model centered on disease management. Participants were chronically ill patients aged 20 years and older who were highly dependent on medical care. The case management group (CMG) received nurse-led advanced case management, and the comparison group (CG) was selected by matching estimated propensity scores with the CMG. We compared the changes in medico-economic indicators between the two groups and analyzed the physical and psychological indicators of the CMG over time. The CMG comprised 51 participants, of which eight dropped out by 12 months after registration. After 1:1 propensity score matching, there were 40 participants in the CMG and CG, respectively. At 12 months after the registration, there was no significant difference between the two groups and no change in the CMG. At 24 months after the registration, the CMG’s medical and long-term care costs decreased significantly, while the CG’s costs increased. Moreover, there was a significant reduction in the number of hospital days and hospital admissions in the CMG. Our findings revealed that nurse-led advanced case management could be useful for patients with complex needs to avoid hospitalization due to exacerbations. Full article
(This article belongs to the Special Issue Community Care and Chronic Care)
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9 pages, 339 KiB  
Article
Predictors of Caregiver Burden of Patients with Alzheimer Disease Attending Day-Care Centres
by María Gómez-Gallego and Juan Cándido Gómez-Gallego
Int. J. Environ. Res. Public Health 2021, 18(20), 10707; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010707 - 12 Oct 2021
Cited by 4 | Viewed by 2306
Abstract
Nowadays, there are plenty of programs and resources to prevent caregiver burden of patients with Alzheimer’s disease. In spite of that, many caregivers suffer high levels of burden and stress, which leads to an earlier institutionalization of patients. This study aimed to explore [...] Read more.
Nowadays, there are plenty of programs and resources to prevent caregiver burden of patients with Alzheimer’s disease. In spite of that, many caregivers suffer high levels of burden and stress, which leads to an earlier institutionalization of patients. This study aimed to explore the predictors of burden in relative caregivers of patients attending day-care centers and the moderating role of caregiver kinship in these associations. A sample of a hundred and two patient–caregiver dyads was recruited. Burden was measured with a Zarit Burden Interview. Measures of patients’ cognition, insight, depression, behavioral disturbances, functional ability and overall physical health were considered as predictors. We found that apathy, irritability and delusions and, patients’ mobility are the main determinants of caregivers’ burden. The strength of relationship between delusions and irritability was higher in spouse caregivers. Interventions to reduce burden should be adapted to the specific needs of a particular type caregiver. Full article
(This article belongs to the Special Issue Community Care and Chronic Care)
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