Health promotion and chronic disease prevention in Canada : research, policy and practice
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Health Promot Chronic Dis Prev Can · Apr 2017
Implementation of an integrated primary care cardiometabolic risk prevention and management network in Montréal: does greater coordination of care with primary care physicians have an impact on health outcomes?
Chronic disease management requires substantial services integration. A cardiometabolic risk management program inspired by the Chronic Care Model was implemented in Montréal for patients with diabetes or hypertension. One of this study's objectives was to assess the impact of care coordination between the interdisciplinary teams and physicians on patient participation in the program, lifestyle improvements and disease control. ⋯ Greater coordination of patient services between interdisciplinary teams and primary care physicians translates into benefits for patients.