STH About Chronic Healthcare

After reading a lot of papers and comments in terms of healthcare, I think Chronic healthcare is a very good dire Ction deserved to embarkon. There still exist some gaps to fill in the this area. In the meantime, chronic healthcare is a increasingly hot topic in the upcoming years.

Some Keywords related to chronic healthcare: eldly Care, community-based Care, home care, long-term care etc.

1. Paper 1

Paper "An analytical framework for designing community-based care for chronic diseases" develops anAnalytical FrameworkTo understand and evaluate a community-based chronic care system fora specific chronic illness, andinvestigate the potential of alternative interventionsTo improve the system. This was the first study that fills the gap byidentifying the patterns of care, determing the care provider characteristics and care patterns associated with optimal management of care, and proposing A tool to estimate the potential influence of various interventions in community-based care. AnAnalytical epidemiologic Modelis extended by utilizing aPatient Flow Approach, in order to model themultiple Care-provider visit Patternsof patients with a specific chronic illness. The patterns of care received by a group of patients is represented in compact form by means of aMarkov ModelThat's based on a disease-specific state space. This framework also reflects theCase-mix Biases. The framework is applied to the data of 4000+Stroke PatientsDischarged from the acute care hospitals of Quebec to their homes.

Comments:

1. It ' s very significant to provide mathematical analysis for evaluation of relationship between some healthcare patterns and outcomes (including death) based on the empirical data. There still exists big gap in this area, especially for the OM thinking rather than medical or clinical level. It deserves to do some high-quality the based on Hong Kong background.

2. It is a little related to network design in graph theory where arcs represent the flow of Patients/resource consumption , and nodes represent the care phases/facilities/providers. In addition, delivery path of patient, delivery pattern can considered comparably.

3. Interventions is proven by simulation (with some characteristics of heuristic) in the paper while interventions in SOM E papers is proven by randomized controlled trials, before-after observational studies. For example, the paper "Impact on hospital admissions of a integrated primary care model for very frail eldly patients" c Arries out with experiments based on the intervention group and the control group to prove that the proposed model improve s the quality of care provided to very frail elderly patients by reducing unplanned hosptitalizations and improving some H Ealth parameters.

STH About Chronic Healthcare