Thursday, August 18, 2011

[EQ] Chronic Disease Management Matrix 2010: Results of a survey in ten European countries

Chronic Disease Management Matrix 2010

Results of a survey in ten European countries

Mieke Rijken, Nienke Bekkema

NIVEL, the Dutch Institute for Health Services Research, 2011

On behalf of the EFPC - European Forum for Primary Care

Available online as PDF file [118p.] at:

“………The report provides an overview of the current state regarding chronic disease management in several European countries and provide further evidence for the Primary Care case towards the UN high-level meeting on NCD's.

The "General overview" gives a summary of the findings. Detailed information about the reported disease management programmes can be found in chapter 3.

increasing. Between 70% and 86% of deaths have been attributed to chronic diseases (World Health Organisation Europe, 2006; Centers for Disease Control and Prevention, 2007).

This poses great challenges for the healthcare systems in Europe in providing high quality care for the chronically ill, without causing tremendous economic burdens on the community. In recent years, several European countries have set up Disease Management Programmes (DMPs) to rise to this challenge. In order to continuously improve the models for managing chronic diseases it is important to learn about the essential features of these DMPs and the position of primary healthcare within these programmes.

For this purpose a survey was conducted to provide an overview of the actual situation regarding chronic disease management in Europe. Experts from ten European countries provided data about the existence of DMPs in their country, the features and outcomes of these DMPs, the healthcare providers involved and the role of primary care in these DMPs in particular. In addition, some general characteristics of the country’s healthcare system were provided. Experts were asked to report on programmes to manage chronic illness care that met the following criteria.
The programme:

• manages a defined chronic condition (or risk-factor for developing a defined chronic condition);

• incorporates a systematic and coherent approach;

• offers multidisciplinary, collaborative care;

• focuses on an active role for patients;

• strives to maximize effectiveness and to continuously improve quality of care. ….”


Table of contents


General overview

1 Introduction

2 Method

3 DMPs Disease Management Programmes organized per chronic condition

3.1 Overview of DMPs Disease Management Programmes per chronic condition

3.2 Reading guide

3.3 Cancer

3.4 Cardiovascular disease

3.5 COPD

3.6 Depression

3.7 Diabetes

4 Country information



European Forum for Primary Care Association: Inaugural meeting in Graz on the 16th of September!

At the conference in Graz the step towards a new phase for the EFPC will be taken by establishing itself as a registered association.
The planned 3rd Annual Member Meeting in Graz on the 16th of September will be a real General Assembly and will function as the inaugural meeting where EFPC members will officially ratify the statutes and install its' board.

Diederik Aarendonk, Forum Coördinator European Forum for Primary Care (EFPC)

Utrecht, The Netherlands



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