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Journal articles on the topic 'Chronic health condition'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Glied, S. "Chronic condition why health reform fails." Public Health 113, no. 1 (1999): 47–48. http://dx.doi.org/10.1016/s0033-3506(99)00114-6.

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2

Thorpe, Kenneth E. "Chronic Condition: Why Health Reform Fails." Journal of Health Politics, Policy and Law 24, no. 4 (1999): 845–48. http://dx.doi.org/10.1215/03616878-24-4-845.

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3

Mintz, Beth, and Sherry Glied. "Chronic Condition: Why Health Reform Fails." Contemporary Sociology 27, no. 6 (1998): 652. http://dx.doi.org/10.2307/2654293.

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4

Nieman, Linda Z. "Chronic condition self-management and two teaching models for chronic conditions." Chronic Illness 5, no. 1 (2009): 15–17. http://dx.doi.org/10.1177/1742395309102239.

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5

Wollenhaupt, Josanne, Beth Rodgers, and Kathleen J. Sawin. "Family Management of a Chronic Health Condition." Journal of Family Nursing 18, no. 1 (2011): 65–90. http://dx.doi.org/10.1177/1074840711427545.

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Santoro, Maya S., Dhwani J. Kothari, Charles Van Liew, and Terry A. Cronan. "Health Care Advocacy." Californian Journal of Health Promotion 12, no. 3 (2014): 46–55. http://dx.doi.org/10.32398/cjhp.v12i3.1580.

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Background and Purpose: The U.S. population is living longer; therefore, a relatively large proportion of the population is likely to experience chronic illnesses within their lifetime. An experimental study was conducted to examine factors influencing the likelihood of hiring a Health Care Advocate (HCA). Methods: Survey data were collected from a randomly selected community sample of participants (N = 470) over the age of 18 who were provided with a description of an HCA and a written vignette describing a medical scenario. Participants read one of eight vignettes in which they were asked to

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7

Jacobs, Lawrence R. "Chronic Condition: Why Health Reform Failsby Sherry Glied." Political Science Quarterly 113, no. 4 (1998): 712–14. http://dx.doi.org/10.2307/2658257.

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8

Kimble, Chris. "Electronic Health Records: Cure-All or Chronic Condition?" Global Business and Organizational Excellence 33, no. 4 (2014): 63–74. http://dx.doi.org/10.1002/joe.21554.

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McNeill, Ted. "Fathers of Children with a Chronic Health Condition." Men and Masculinities 9, no. 4 (2007): 409–24. http://dx.doi.org/10.1177/1097184x05284220.

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Corrigan, John D., and Flora M. Hammond. "Traumatic Brain Injury as a Chronic Health Condition." Archives of Physical Medicine and Rehabilitation 94, no. 6 (2013): 1199–201. http://dx.doi.org/10.1016/j.apmr.2013.01.023.

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11

Erickson, Cecelia DuPlessis, Patricia L. Splett, Sara Stoltzfus Mullett, and Mary Bielski Heiman. "The Healthy Learner Model for Student Chronic Condition Management—Part I." Journal of School Nursing 22, no. 6 (2006): 310–18. http://dx.doi.org/10.1177/10598405060220060201.

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A significant number of children have chronic health conditions that interfere with normal activities, including school attendance and active participation in the learning process. Management of students’ chronic conditions is complex and requires an integrated system. Models to improve chronic disease management have been developed for the medical system and public health. Programs that address specific chronic disease management or coordinate school health services have been implemented in schools. Lacking is a comprehensive, integrated model that links schools, students, parents, health car

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Santos, Teresa, Margarida Gaspar de Matos, Maria Celeste Simões, Helena Fonseca, and Maria do Céu Machado. "Individual factors related to chronic condition in Portuguese adolescents: Highlights from the HBSC/WHO study." Health 05, no. 11 (2013): 25–34. http://dx.doi.org/10.4236/health.2013.511a2005.

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13

Spencer, Grace, Sophie Lewis, and Megan Reid. "Living with a chronic health condition: Students’ health narratives and negotiations of (ill) health at university." Health Education Journal 77, no. 6 (2017): 631–43. http://dx.doi.org/10.1177/0017896917738120.

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Objective: Increasing numbers of young people live with a chronic health condition. Much research to date has explored young people’s self-management of their illness and related symptomatology. Relatively less is known about how young people manage their long-term condition in everyday social contexts. This paper reports on findings from a qualitative study examining the perspectives of university students with a chronic health condition, including how they negotiate their health (and experiences of ill health) while at university. Design: A qualitative interview study was conducted with 16 s

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14

Freitas, Maria Célia de, and Maria Manuela Rino Mendes. "Chronic health conditions in adults: concept analysis." Revista Latino-Americana de Enfermagem 15, no. 4 (2007): 590–97. http://dx.doi.org/10.1590/s0104-11692007000400011.

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This study aimed to define the concept of chronic health condition in adults as presented in literature. An evolutionary perspective of concept analysis was used, as presented by Rodgers, emphasizing the essential attributes, antecedents, consequences and related concepts. The adult's chronic health condition was presented by the characteristics of permanence, irreversibility, residual handicap, incurable and degenerative as essential attributes. The antecedents were: genetic heritage, old age, birth condition, smoking and foods with saturated fat; and, for the consequences: physical, social a

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15

Newman, Robert G. "Addiction: a chronic medical condition." Drug and Alcohol Review 27, no. 4 (2008): 450. http://dx.doi.org/10.1080/09595230802089727.

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Menictas, Marianne, Mashfiqui Rabbi, Predrag Klasnja, and Susan Murphy. "Artificial intelligence decision-making in mobile health." Biochemist 41, no. 5 (2019): 20–24. http://dx.doi.org/10.1042/bio04105020.

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It is likely that you or someone you know is affected by a chronic health condition. For example, a staggering six in 10 adults in the USA are currently suffering from a chronic disease (National Center for Chronic Disease Prevention and Health Promotion, 2019). Unfortunately, chronic conditions are not treatable overnight, but they can often be improved by regular incorporation of preventative behaviours (e.g., taking medication, healthy sleeping habits, being physically active, healthy eating, etc.). However, due to the many contingencies that arise in our lives, regular incorporation of hea

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17

Skroumpelos, A., E. Pavi, S. Pasaloglou, and J. Kyriopoulos. "Catastrophic Health Expenditures and Chronic Condition Patients in Greece." Value in Health 17, no. 7 (2014): A501—A502. http://dx.doi.org/10.1016/j.jval.2014.08.1511.

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18

Van Cleave, Jeanee, and Laurel K. Leslie. "Approaching ADHD as a Chronic Condition." Journal of Psychosocial Nursing and Mental Health Services 46, no. 8 (2008): 28–37. http://dx.doi.org/10.3928/02793695-20080801-07.

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19

Petersen, Corinna, Silke Schmidt, and Monika Bullinger. "Coping with a Chronic Pediatric Health Condition and Health-Related Quality of Life." European Psychologist 11, no. 1 (2006): 50–56. http://dx.doi.org/10.1027/1016-9040.11.1.50.

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Background: Health-related quality of life (HRQOL) is increasingly considered an important outcome variable in pediatric research. Despite the growing interest little is known about the relationship between HRQOL and other significant constructs such as coping with a chronic health condition. Objective: The current paper examined age, gender, and health condition effects on coping and HRQOL scales and explored the relationship between both constructs. Methods: A study with 295 children and adolescents (8-16 years) with three different chronic health conditions (asthma, diabetes mellitus, and a

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20

Bayog, Maria L. G., and Catherine M. Waters. "Nativity, Chronic Health Conditions, and Health Behaviors in Filipino Americans." Journal of Transcultural Nursing 29, no. 3 (2017): 249–57. http://dx.doi.org/10.1177/1043659617703164.

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Introduction: Nearly half of Americans have a chronic health condition related to unhealthful behavior. One in four Americans is an immigrant; yet immigrants’ health has been studied little, particularly among Asian American subpopulations. Methodology: Years lived in United States, hypertension, diabetes, smoking, walking, adiposity, and fruit/vegetable variables in the 2011-2012 California Health Interview Survey were analyzed to examine the influence of nativity on chronic health conditions and health behaviors in 555 adult Filipinos, the second largest Asian American immigrant subpopulatio

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21

Ahmad, Kabir, Enamul Kabir, Syed Afroz Keramat, and Rasheda Khanam. "Maternal health and health-related behaviours and their associations with child health: Evidence from an Australian birth cohort." PLOS ONE 16, no. 9 (2021): e0257188. http://dx.doi.org/10.1371/journal.pone.0257188.

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Objective This study investigates the associations between maternal health and health-related behaviours (nutrition, physical activity, alcohol consumption and smoking) both during pregnancy and up to 15 months from childbirth and children’s health outcomes during infancy and adolescence (general health, presence of a chronic illness, and physical health outcome index). Methods This study used Wave 1 (2004) and Wave 7 (2016) data from the Longitudinal Survey of Australian Children (LSAC). We measured mothers’ general health, presence of a medical condition during pregnancy and mental health du

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22

Hickson, Louise, Gitte Keidser, Carly Meyer, and Elizabeth Convery. "The Chronic Care Model and Chronic Condition Self-Management: An Introduction for Audiologists." Seminars in Hearing 40, no. 01 (2019): 007–25. http://dx.doi.org/10.1055/s-0038-1676780.

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AbstractHearing health care is biomedically focused, device-centered, and clinician-led. There is emerging evidence that these characteristics—all of which are hallmarks of a health care system designed to address acute, rather than chronic, conditions—may contribute to low rates of help-seeking and hearing rehabilitation uptake among adults with hearing loss. In this review, we introduce audiologists to the Chronic Care Model, an organizational framework that describes best-practice clinical care for chronic conditions, and suggest that it may be a viable model for hearing health care to adop

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23

Callander, Emily J., Lisa Corscadden, and Jean-Frederic Levesque. "Out-of-pocket healthcare expenditure and chronic disease – do Australians forgo care because of the cost?" Australian Journal of Primary Health 23, no. 1 (2017): 15. http://dx.doi.org/10.1071/py16005.

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Although we do know that out-of-pocket healthcare expenditure is relatively high in Australia, little is known about what health conditions are associated with the highest out-of-pocket expenditure, and whether the cost of healthcare acts as a barrier to care for people with different chronic conditions. Cross-sectional analysis using linear and logistic regression models applied to the Commonwealth Fund international health policy survey of adults aged 18 years and over was conducted in 2013. Adults with asthma, emphysema and chronic obstructive pulmonary disease (COPD) had 109% higher househ

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24

Desguin, Barbara W., Ilene J. Holt, and Sharon M. McCarthy. "Comprehensive care of the child with a chronic condition. Part 1. Understanding chronic conditions in childhood." Current Problems in Pediatrics 24, no. 6 (1994): 199–218. http://dx.doi.org/10.1016/0045-9380(94)90030-2.

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25

Scott, K. M., J. Kokaua, and J. Baxter. "Does Having a Chronic Physical Condition Affect the Likelihood of Treatment Seeking for a Mental Health Problem and Does This Vary by Ethnicity?" International Journal of Psychiatry in Medicine 42, no. 4 (2011): 421–36. http://dx.doi.org/10.2190/pm.42.4.f.

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Objective: The comorbidity of mental disorders with chronic physical conditions is known to have important clinical consequences, but it is not known whether mental-physical comorbidity influences mental health treatment seeking. This study investigates whether the presence of a chronic physical condition influences the likelihood of seeking treatment for a mental health problem, and whether that varies among ethnic subgroups in New Zealand. Methods: Analyses were based on a subsample ( n = 7,435) of The New Zealand Mental Health Survey, a nationally representative household survey of adults (

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26

Sun, Can-Lan, Liton Francisco, Toana Kawashima, et al. "Prevalence and predictors of chronic health conditions after hematopoietic cell transplantation: a report from the Bone Marrow Transplant Survivor Study." Blood 116, no. 17 (2010): 3129–39. http://dx.doi.org/10.1182/blood-2009-06-229369.

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Abstract Long-term survival is now an expected outcome after hematopoietic cell transplantation (HCT). However, the burden of morbidity long-term after HCT remains unknown. We examined the magnitude of risk of chronic health conditions reported by 1022 HCT survivors and their siblings (n = 309). A severity score (grades 1 [mild] through 4 [life-threatening]) was assigned to each health condition using the Common Terminology Criteria for Adverse Events, Version 3. Sixty-six percent of the HCT survivors reported at least one chronic condition; 18% reported severe/life-threatening conditions; com

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27

Holm, Kristen E., Joan M. Patterson, Martha A. Rueter, and Frederick Wamboldt. "Impact of uncertainty associated with a child's chronic health condition on parents' health." Families, Systems, & Health 26, no. 3 (2008): 282–95. http://dx.doi.org/10.1037/a0012912.

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28

Ingle, Barby. "Living With Chronic Pain." Creative Nursing 21, no. 4 (2015): 250–52. http://dx.doi.org/10.1891/1078-4535.21.4.250.

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A health educator who has reflex sympathetic dystrophy, an autoimmune condition involving chronic pain, shares her knowledge about living life to the fullest while dealing with a chronic health condition. Her advice encompasses dealing with the health care system, managing information, and obtaining physical and emotional self-care.

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29

Hutchinson, Susan L., and Heidi Lauckner. "Recreation and collaboration within the Expanded Chronic Care Model: working towards social transformation." Health Promotion International 35, no. 6 (2020): 1531–42. http://dx.doi.org/10.1093/heapro/daz134.

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Abstract Assisting people to live well with a chronic physical or mental health condition requires the creation of intersectoral community-based supports for chronic condition self-management. One important but underutilized resource for supporting chronic condition self-management in the community is recreation, which refers to relatively self-determined and enjoyable physical, social or expressive everyday activities. The Expanded Chronic Care Model (ECCM) provides a framework for identifying systems-level strategies to support self-management through increased access to community recreation

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30

Furler, John. "Editorial: Changing paradigms in chronic condition care." Chronic Illness 4, no. 3 (2008): 157–59. http://dx.doi.org/10.1177/1742395308090064.

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31

Austin, Andrea M., Don Carmichael, Scott Berry, et al. "Chronic Condition Measurement Requires Engagement, Not Measurement Alone." Journal of Ambulatory Care Management 42, no. 4 (2019): 295–304. http://dx.doi.org/10.1097/jac.0000000000000300.

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32

Pinquart, Martin. "Health-Related Quality of Life of Young People With and Without Chronic Conditions." Journal of Pediatric Psychology 45, no. 7 (2020): 780–92. http://dx.doi.org/10.1093/jpepsy/jsaa052.

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Abstract Objective The aim of this meta-analysis was to compare levels of health-related quality of life (HRQOL) among children with and without chronic physical and/or sensory conditions, based on PedsQL 4.0 General Core Scales. Methods Studies were identified with electronic databases (CINAHL, PSYCINFO, MEDLINE, Google Scholar, PSYNDEX) and from the PedsQL website. We included controlled studies that compared PedsQL scores of children (mean age &lt; 18 years) with and without chronic physical and/or sensory conditions and uncontrolled studies on children with chronic physical and/or sens

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33

Svavarsdóttir, Erla Kolbrún, and Brynja Örlygsdóttir. "Comparison of Health-Related Quality of Life Among 10- to 12-Year-Old Children With Chronic Illnesses and Healthy Children: The Parents’ Perspective." Journal of School Nursing 22, no. 3 (2006): 178–85. http://dx.doi.org/10.1177/10598405060220030901.

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The purpose of this study was to evaluate mothers’ and fathers’ perception of their child’s health-related quality of life (HRQOL) among 10- to 12-year-old Icelandic children with or without chronic health condition or illness. A total of 912 Icelandic parents (510 mothers and 402 fathers) and 480 children (209 boys and 271 girls) participated in the study. The Icelandic fathers of children who visited the school nurse over a period of 1 week perceived HRQOL of their children to be significantly lower than the mothers. A gender difference was found between the parents; mothers perceived their

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34

Ferro, M. A. "Major depressive disorder, suicidal behaviour, bipolar disorder, and generalised anxiety disorder among emerging adults with and without chronic health conditions." Epidemiology and Psychiatric Sciences 25, no. 5 (2015): 462–74. http://dx.doi.org/10.1017/s2045796015000700.

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Background.Despite the considerable physical, emotional and social change that occurs during emerging adulthood, there is little research that examines the association between having a chronic health condition and mental disorder during this developmental period. The aims of this study were to examine the sex-specific prevalence of lifetime mental disorder in an epidemiological sample of emerging adults aged 15–30 years with and without chronic health conditions; quantify the association between chronic health conditions and mental disorder, adjusting for sociodemographic and health factors; a

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Runions, Kevin C., Rena Vithiatharan, Kirsten Hancock, et al. "Chronic health conditions, mental health and the school: A narrative review." Health Education Journal 79, no. 4 (2019): 471–83. http://dx.doi.org/10.1177/0017896919890898.

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Objectives: Children and adolescents with chronic physical health conditions are also at elevated risk of poor mental health; the mechanisms to account for this relationship remain unclear. In this narrative review, we used the socio-ecological model to examine research on experiences of school for children with chronic health conditions and how socio-ecology might be involved in mental health problems. Design: We conducted a scoping review of the existing literature, focused on hearing loss, cystic fibrosis and type 1 diabetes, which examined child and/or adolescent mental health and aspects

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36

Chi, Mei-ju, Cheng-yi Lee, and Shwu-chong Wu. "The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI)." Archives of Gerontology and Geriatrics 52, no. 3 (2011): 284–89. http://dx.doi.org/10.1016/j.archger.2010.04.017.

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37

Irwin, Mary Kay, Megan Elam, Ashley Merianos, Laura Nabors, and Christel Murphy. "Training and Preparedness to Meet the Needs of Students with a Chronic Health Condition in the School Setting." Physical Disabilities: Education and Related Services 37, no. 2 (2018): 34–59. http://dx.doi.org/10.14434/pders.v37i2.26254.

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Despite the increasing prevalence of chronic health conditions among youth in schools, teachers report little exposure to specific coursework focusing on how to best support students with these conditions in the classroom. This study examined how teacher preparation programs prepare educators to meet the needs of this growing student population; findings also include survey results describing level of preparation to support students with a chronic health condition from the perspective of preservice and practicing educators enrolled in the nation’s leading colleges of education. Results suggest

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38

Nowakowski, Alexandra C. H., Jihyung Shin, and Henry J. Carretta. "Regional Risk: Mapping Single and Multiple Chronic Conditions in the United States." SAGE Open 9, no. 1 (2019): 215824401882238. http://dx.doi.org/10.1177/2158244018822385.

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Prevalence of single and multiple chronic conditions continues to increase in the United States. Chronic conditions predict significant morbidity and health care costs, especially when complicated by additional conditions. Likewise, many conditions are linked to health risk behaviors, and thus amenable to prevention. We examine regional differences in prevalence of single and multiple chronic conditions. In the process, we examine the ability of health risk behaviors to predict condition prevalence in each region. We recommend national prevention strategies with targeted content for specific g

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39

Lambert, Susan. "Chronic Condition Self-Management: A primary health care change management problem." Australian Journal of Primary Health 11, no. 2 (2005): 70. http://dx.doi.org/10.1071/py05024.

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Australian general practitioners are recognising the need to implement some form of chronic condition management program to better service and cope with the ever-increasing number of patients presenting with chronic conditions. Chronic Condition Self-Management (CCSM) is one such program. In this paper it is argued that the basis of CCSM is a multi-disciplinary, care-team approach, and that implementation of such an approach represents a paradigm shift in primary health care service delivery. This equates to a significant innovation in primary health care service that, in economic terms, aims

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40

Newton, Jennifer M., Leah Falkingham, and Lyn Clearihan. "Better knowledge, better health: piloting an education intervention in chronic condition self-management support." Australian Journal of Primary Health 17, no. 1 (2011): 4. http://dx.doi.org/10.1071/py10059.

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Chronic condition self-management and lifestyle risk modification education is paramount for General Practice registrars. A multi-dimensional learning package ‘Better Knowledge, Better Health’ was developed and piloted to improve General Practice registrars’ understanding of their role in supporting chronic condition self-management in patients with osteoarthritis. This pilot study was supported by the Australian Better Health Initiative. Pre-training learning needs analysis with a new intake of General Practice registrars (n = 40) indicated high levels of confidence in supporting patients in

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41

Ehrlich, Carolyn, Elizabeth Kendall, and Heidi Muenchberger. "Practice-based chronic condition care coordination: challenges and opportunities." Australian Journal of Primary Health 17, no. 1 (2011): 72. http://dx.doi.org/10.1071/py10053.

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This paper explores issues related to the types of support that practice nurses require to engage in care coordination for people with chronic conditions. A sample of practice nurses and general practitioners participated in a focus group discussion to identify their perspectives on the role of practice nurses as providers of care coordination, the specific tasks that might be conducted and the types of support that might be required. The data were analysed using thematic analysis. The findings suggested there was considerable confusion about care coordination and a lack of conceptual clarity.

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42

Klest, Bridget, Andreea Tamaian, and Christina Mutschler. "Betrayal Trauma, Health Care Relationships, and Health in Patients with a Chronic Neurovascular Condition." Journal of Aggression, Maltreatment & Trauma 26, no. 1 (2016): 18–33. http://dx.doi.org/10.1080/10926771.2015.1107175.

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43

Anđelić, Nenad, Hristo Anđelski, and Slađana Mijanović. "Dental health condition and oral mucosa of patients on chronic hemodialysis." Zdravstvena zastita 40, no. 6 (2011): 71–73. http://dx.doi.org/10.5937/zz1102071a.

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Dean, Caress A., Christian J. Geneus, Shahida Rice, et al. "Assessing the significance of health information seeking in chronic condition management." Patient Education and Counseling 100, no. 8 (2017): 1519–26. http://dx.doi.org/10.1016/j.pec.2017.03.012.

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45

Bauer, Jean W., Tahira K. Hira, Mari S. Wilhelm, Karen P. Varcoe, and Saji Thomas. "The determinants of worry over chronic health condition for rural couples." Journal of Family and Economic Issues 14, no. 3 (1993): 275–91. http://dx.doi.org/10.1007/bf01022181.

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46

Bostock-Cox, Beverley. "Chronic obstructive pulmonary disease's impact on mental health." Independent Nurse 2019, no. 8 (2019): 12–14. http://dx.doi.org/10.12968/indn.2019.8.12.

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47

Harvey, Peter W., and Barbara M. Docherty. "Sisyphus and self-management: the chronic condition self-management paradox." Australian Health Review 31, no. 2 (2007): 184. http://dx.doi.org/10.1071/ah070184.

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Chronic condition self-management is promoted internationally as not only a possible solution to the health problems of our increasingly chronically ill and ageing population, but as part of a new wave of consumer-led and volunteer-managed health care initiatives. Consumers are now indicating that they want to be more involved in the management of their lives and their health care options, while, especially in rural and smaller communities in Australia, a shortage of clinicians means that health care is rapidly changing. This emphasis on self-management raises crucial questions about where con

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48

Smith, David, Sharon Lawn, Peter Harvey, and Malcolm Battersby. "Concurrent validity of the Partners in Health scale against general self-rated health in chronic conditions: A short report." Chronic Illness 15, no. 1 (2017): 74–77. http://dx.doi.org/10.1177/1742395317743559.

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The Partners in Health scale is a structurally valid measure of chronic condition self-management behaviours. This report describes a study that further evaluated construct validity of Partners in Health scale by assessing its relationship with a single-item measure of general self-rated health. The concurrent validity of the scale was demonstrated by a statistically significant association with general self-rated health in a population representative sample of people with chronic conditions.

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Mo, Frank, Bernard C. K. Choi, Felix C. K. Li, and Joav Merrick. "Using Health Utility Index (HUI) for Measuring the Impact on Health-Related Quality of Life (HRQL) Among Individuals with Chronic Diseases." Scientific World JOURNAL 4 (2004): 746–57. http://dx.doi.org/10.1100/tsw.2004.128.

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Quality of life is an important indicator in assessing the burden of disease, especially for chronic conditions. The Health Utilities Index (HUI) is a recently developed system for measuring the overall health status and health-related quality of life (HRQL) of individuals, clinical groups, and general populations. Using the HUI (constructed based on eight attributes: vision, hearing, speech, mobility, dexterity, cognition, emotion, and pain/discomfort) to measure the HRQL for chronic disease patients and to detect possible associations between HUI system and various chronic conditions, this s

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Sawin, Kathleen J., Constance F. Buran, Timothy J. Brei, and Philip S. Fastenau. "Sexuality Issues in Adolescents with a Chronic Neurological Condition." Journal of Perinatal Education 11, no. 1 (2002): 22–34. http://dx.doi.org/10.1624/105812402x88579.

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Substantial progress in the medical treatment of individuals with spina bifida (SB) has increased the numbers who survive into adolescence and adulthood. However, sexual health in this population has not received much attention. This study explored the knowledge (SB Sexuality Knowledge Scale), worries (SB Worries Scale), romantic appeal (from Harter’s Self-Perception Scale), and access to sexuality information of a sample of 60 adolescents from a midwestern state. Study participants reported having sexual feelings like their peers, and they knew they could contract sexually transmitted disease

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