Improving Chronic Disease Management
A patient-provider centered educational training program
The training aimed at healthcare professionals takes a holistic approach toward chronic disease care. It enables participants to explore different facets of care and equips them with knowledge and skills to more successfully deal with each aspect. It also enables care providers to better understand the patient’s perspective and empower towards more effective self-management.
This program is suitable for every primary care provider, from doctors, nurses, nutritionists, etc to community health workers. All are an essential part of the chronic care chain.
A different training program is dedicated to patients and people in their communities, empowering them with health knowledge and skills and behaviors.
The more all actors share a common patient-centered, efficiency-driven vision, the best care outcomes will result.
Chronic Care Organization
Session 1: Dealing with Complexity of Care:
Complex Systems Management
Session 2: Implementing Inter-professional
Session 3: Optimizing Patient Health Record
Session 4: Introducing Care Pathways
Session 1: Health Promotion & Lifestyles
Session 2: Chronic Disease Management in
Primary Care – eg. Diabetes
Session 3: Inter-professional Team Collaboration
Session 4: Patient Self-Management Support
Session 5: Training of Trainers (TOT)
Integrated Clinical Management
Medical Consultation Management
Session 1: Structuring Medical Consultation
Session 2: Communicating with Patients:
Skills & Attitudes
Session 3: Dealing with Specific
Communication Issues & Situations
Session 4: Managing Time with Administrative
& Clinical tasks
Session 1: Understanding the Patient
Session 2: Identifying Patient’s Difficulties & Needs
Session 3: Setting Patient’s Health Learning Needs
Session 4: Empowering the Patient for Self-Care
Session 5: Evaluating Patient’s Learning Process