Title : Unveiling the six cluster model for transforming chronic disease management by bringing coordinated health and social outcomes to life
Abstract:
The escalating global prevalence of chronic diseases constitutes a significant health crisis, with 60% of adults in the United States (CDC), 40% in Canada Public Health Agency of Canada) and 30% in Europe contending with at least one chronic condition (European Chronic Diseases Alliance). By 2030, cardiovascular disease, most cancers, diabetes, and chronic respiratory diseases are projected to contribute to approximately 81% of deaths in Latin America (OECD), further highlighting the pervasive impact of these noncommunicable diseases (NCDs). In the South-East Asia Region, NCDs account for 62% of all deaths, while sub-Saharan Africa witnessed NCDs responsible for 37% of deaths in 2019 (WHO).
In addressing the imperative for innovative strategies to tackle this burgeoning health crisis, we advocate for a paradigm shift towards leveraging social assets at the individual, family, and community levels. Activation of these social assets proves paramount in the complex landscape of chronic diseases. Multi-disciplinary teams beyond healthcare certainly supports the bridging of different dimensions in the healthcare workflow while engaging social assets.
Over the past seven years, we have analyzed transformational initiatives across various systems worldwide. This analysis has led us to identify elements that form six distinct clusters. In this presentation, we describe the six clusters towards the activation of social assets of the individual, family and community to properly achieve person centricity through coordinated health and social outcomes (CHSO).
Audience Take Away Notes:
- Promote Awareness and Understanding: Heighten awareness and comprehension of challenges in chronic disease management and introduce transformative models as viable solutions. Our research delineates a clustering of transformative elements and proposes actionable strategies for implementation
- Engage Healthcare Professionals: Cultivate engagement among healthcare professionals, especially those in clinical settings with multi-disciplinary teams, by visualizing innovative service pathways
- Advocate for Policy Considerations: Champion the inclusion of policy considerations that recognize and endorse the significance of coordinated health and social outcomes in the domain of chronic disease management
- Gain Insight: Understand the challenges and solutions in chronic disease management, providing a foundation for informed decision-makin
- Enhance Practices: Healthcare professionals can integrate innovative service pathways into their clinical settings, fostering better patient outcomes
- Influence Policy: Advocacy for policy considerations empowers the audience to contribute to systemic changes in the approach to chronic disease management
- Practical Application: Offers practical solutions applicable to real-world challenges in healthcare settings
- Research and Teaching Expansion: Provides valuable research insights that faculty can incorporate into their own research or teaching materials
- Streamlined Design: Simplifies and enhances the efficiency of a designer’s job by addressing complex issues in chronic disease management
