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Prof. Dr. med. habil. Peter Schwarz, MBA University of Dresden, Germany Universitätsklinikum Carl Gustav Carus Dresden Division for Prevention and Care.

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Presentation on theme: "Prof. Dr. med. habil. Peter Schwarz, MBA University of Dresden, Germany Universitätsklinikum Carl Gustav Carus Dresden Division for Prevention and Care."— Presentation transcript:

1 Prof. Dr. med. habil. Peter Schwarz, MBA University of Dresden, Germany Universitätsklinikum Carl Gustav Carus Dresden Division for Prevention and Care of Diabetes Medizinische Klinik und Poliklinik III Active Ageing with Type 2 Diabetes as Model for the Development and Implementation of Innovative Chronic Care Management in Europe

2 Patrick Timpel, Kristin Kemple, Christin Kusche, Caroline Lang, Henna Riemenschneider, Gabriele Müller, Jaqueline Schwaz, Christina Ruch, Peter Schwarz, Katrien Benhalima, Katrien Rouffé, Nadine Pardon, Sophie Peresson, Lala Rabemananjara, Stella de Sabata, Dimitrios Kakoulis, Mayur Mandalia, Bernhard Paulweber, Lars Stechemesser, Johan Wens, Esther van Leeuwen, IKD: Karsten Müssig, Michael Roden, IBE: Wolfgang Rathmann, Brenda Bongaerts, Oliver Kuss, Toni Dedeu, Juan Carlos Contel Segura, Konstantinos Makrilakis, George Dafoulas, Stavros Liatis, Marian Benroubi, Elpida Athanasopoulou, Peter Kronsbein, Jutta Genz, João Filipe Raposo, Rogério Ribeiro, Zdravko Kamenov, Dzilda Velickiene, Rasa Verkauskiene, Markku Peltonen, Jaana Lindström, Andrej Zeyfang, Irene Feucht, Aleksandra Gilis-Januszewska, Daniel Tolks, Martin Adler, Sari Koski, Bernd Stratmann, Young HeeLee-Barkey, Diethelm Tschöpe, Volker Amelung, Valerie Dorow, Susanne Ozegowski, Anne de Vries, Katrien Benhalima, Katrien Rouffé, Nadine Pardon MANAGE CARE

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4 Slide no 4Date Quality of life drives adherence Behaviour Change works in stages Interventions based on individual needs

5 1 Development of a European practice-oriented guideline for prevention of type 2 diabetes 2 Development of a European curriculum for the training of prevention managers 3 Development of European standards for continuous quality control and evaluation of prevention programs for type 2 diabetes 4 Development of a European e-health training portal for prevention managers 1 a systematic assessment about disease management models addressing elderly with chronic diseases 4 A European e-health training portal for medical professionals 6 10 care-standard recommendations as a roadmap to integrated chronic care management 2 A European Practice Compendium on disease management in Europe 3 A technical handbook with an new innovative Chronic Care Management Model 5 A patient empowerment booklet and e-health portal on active ageing with chronic diseases 7 A toolkit to guide development and implementation Chronic Care Management Models in Europe IMAGE project MANAGE-CARE 30 partners from the EU – a growing cosortium From 18 EU countries MANAGE-CARE will have the potential to address the needs of patients with Diabetes and diabetes prevention in Europe

6 Acronym: MANAGE-CARE Title: Active Ageing with Type 2 Diabetes as Model for the Development and Implementation of Innovative Chronic Care Management in Europe Chronic Care Management

7 State-of-the-art report on existing disease management models and on scientific evidence of care for elderly with T2DM Identification of patients’ needs and priorities to formulate requirements for innovative and patient-centred chronic care Development of an innovative chronic care management model e-Health portal with MANAGE-CARE PRO training curriculum for healthcare professionals Patient empowerment booklet and e-Health portal on active ageing with T2DM Development and discussion of the MANAGE-CARE Toolkit including care-standard recommendations as a roadmap to innovative Chronic Care Management. MANAGE CARE Products

8 State-of-the-art report on existing disease management models and on scientific evidence of care for elderly with T2DM MANAGE CARE Products 9,464 publications screened Only seven cluster randomized controlled trials included for review  Limited evidence from RCT suggests that the effects of multifactorial care on HbA1c concentration, cholesterol levels and blood pressure in older type 2 diabetes patients are only small.

9 Identification of patients’ needs and priorities to formulate requirements for innovative and patient-centred chronic care MANAGE CARE Products Expert Workshop MC Survey MC Online Survey

10 Development of an innovative chronic care management model MANAGE CARE Products

11 e-Health portal with MANAGE-CARE PRO training curriculum for healthcare professionals MANAGE CARE Products Main modules  e-learning  telemedicine  communication  new chronic care model (after publication)  patient empowerment booklet

12 12 Further developed from Bachmann et al. „A European consensus on learning objectives for a core communication curriculum in health care professions“ MANAGE CARE Products

13 Patient empowerment booklet and e-Health portal on active ageing with T2DM MANAGE CARE Products The contents of the booklet include the following chapters: Nutrition Physical activity Self-monitoring Injectables Hypoglycaemia Blood pressure Foot care Social networks.

14 Development and discussion of the MANAGE-CARE Toolkit including care-standard recommendations as a roadmap to innovative Chronic Care Management. MANAGE CARE Products 1Education 2Individual needs 3Prevention & Health Promotion 4 Social support & Community Engagement 5Accessibility 6Cooperation/ coordination 7Sharing information 8eHealth 9Fairness 10Business 11Evaluation

15 MANAGE CARE European Practice Compendium MANAGE CARE Products

16 Next steps Comparing the effectiveness of existing healthcare interventions in the adult population Promoting mental health and well-being in the young Personalised coaching for well-being and care of people as they age

17 Thank you


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