Applying the Chronic Care Model (Part 1)

This next short video lecture focuses on the delivery system design, which ensures efficient and effective care, along with self-management support. Scheduled, proactive visits that align with patient goals assist in maintaining optimal health and aid health systems in resource management. These visits often involve a collaborative effort from various team members. Key strategies include defining roles and allocating tasks within the team, utilizing planned interactions to support evidence-based care, offering clinical case management for complex patients, ensuring consistent follow-up by the care team, and delivering care that aligns with patients' cultural background and is easily comprehensible to them.

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