Posted: September 7th, 2024

The Place of Care Coordination for Chronic Disease

The Place of Care Coordination for Chronic Disease

The core stakeholders in the health care sector are struggling to conquer the gaps in knowledge and study how to potentially engage in chronic disease sustainability. That despite the global health setting developing a reliance on population health governance tactics to overcome the ever-increasing rate of chronic diseases, sustainable information on how to handle chronic diseases such as diabetes and cancer is yet to be established on individuals. A minimal percentage of patients under chronic care indicate that they partake up to “somewhat knowledgeable” on how to handle their condition efficiently, and a large percentage of such patients concede that they are not cautious enough on their condition (Byng, 2018, 47-64).
The first goal is the knowledge gap and identifying the needs of patients who possess chronic illness, notwithstanding the age, social status, or the level of a chronic condition. The effect of such conditions extents to their family or even the patient both physically and psychologically. The patients who have a chronic illness have to be guided by skilled and sufficient care coordination regardless of the extent of the level of illness, whether at a primary or advanced stage (HealthITAnalytics, 2017) . That well-structured relationships between the practice team and the patient will be essential to finish or attain the vital clinical and behavioral task of modern chronic illness care.
In the recent past, senior medics identified that efficient management of chronic illness necessitates an advanced practice programmed expressly to help patients overcome chronic conditions’ challenges. Further, the study indicated that busy practices could redevelop their care plan and improve better than “care as usual.” A remarkable example being the use of the Cochrane Collaboration design, which positively improved the necessary care for diabetes. To address this gap, it is recommended to issue prompt reminders and rewards to members individually to those related to their condition.

In attaining the care coordination gap, offering personalized services may significantly develop that relationship between members and specific health plans. In a few cases, the members distrust some coordination plans and blame them for unreasonable medical bills (HealthPayerIntelligence, 2019). Considering the intensity of most chronic illness, members/patients would be yearning for a perfect medical plan, which on average times frustrates the patient due to the standards of care. Hence, strong emphasis shall be on the need to develop health plans based on personalized and patient-centered care precisely for patients with chronic illness. The result means that creating a channel for consumers of health care plans to offer feedback regarding their experience is essential.
The connection gap is a significant problem expressed in care coordination. That by creating a channel of communication, patients and members will be able to acquire a value-based contracting plan and using the patient-centered telehealth, medics can be able to attain maximum efficiency. For chronic illness patients, using a more digital solution and communication channel is vital in attaining chronic patients’ needs. Essentially, the care coordination sector would gain from consensus definitions and conceptual structures (“Improving chronic illness care: Translating evidence into action,” 2017).
The scarcity of evidence involving the success and cost-effectiveness of diverse care coordination plans is a matter of affecting stakeholders in the field. There is a need for what to implement to advance care coordination; however, the field is just emanating from a conceptual perspective. Summarily, since the private sector is involved in care coordination services, the sector must unveil their extent of effectiveness.

References
Byng, R. (2018). Filling the gap: Creating models of care for people with long-term, complex, non-psychotic mental health problems. Severe Mental Illness in Primary Care, 47-64. https://doi.org/10.4324/9781315383231-5
HealthITAnalytics. (2017, July 24). Gaps in chronic disease care leave patients, docs frustrated. https://healthitanalytics.com/news/gaps-in-chronic-disease-care-leave-patients-docs-frustrated
HealthPayerIntelligence. (2019, November 26). Five gaps block patient centered care in chronic disease management. https://healthpayerintelligence.com/news/five-gaps-block-patient-centered-care-in-chronic-disease-management
Improving chronic illness care: Translating evidence into action. (2017, August 17). Health Affairs. https://www.healthaffairs.org/doi/full/10.1377/hlthaff.20.6.64

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