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This reading list provides links to and summaries of a variety of open source resources on chronic health issues and the older adult. Resources included are related to Canadian population studies, supporting self-management, disease/condition specific publications and reports from around the globe. 3 pages.

This chapter from “A Call to Action for Health Reform” describes the extent of chronic illness in America and its implications for the health care system. Four out of five Americans over the age of 50 suffer from at least one chronic condition.  The authors include information on particular chronic illnesses along with strategies for successful care management.

This report from the Primary Health Care Advisory Group in Australia details the evidence for change and makes recommendations for the broad adoption of a new model of care and reforms to better meet the needs of those with chronic and complex health care needs. Many insights and recommendations may prove insightful for providers in other parts of the world.

This Australian report gives a comprehensive look at the need to focus on older people with chronic health conditions, what factors contribute to problems for these people, how care can be improved and suggestions for moving forward.

This report is an outcome of the project ICARE4EU and provides an overview of how European countries are coping with the challenges of multimorbidity, different integrated care programmes, methodological considerations and implications.  

This article discusses a number of considerations for managing multimorbidity in people with chronic respiratory conditions including: the use of care planning, addressing polypharmacy, comorbid mental health conditions, and drug reactions, factors such as gender and socio-economic status, health promotion /opportunistic screening and shared decision making.

This report reviews the impact of depression on the lives of older adults in Canada and the Chronic Care Model (CCM) as a framework for improving the management of conditions like depression. The authors set out to identify barriers and facilitators to the implementation of chronic care intervention models for late-life depression in different Canadian primary care settings and then to test and evaluate strategies to overcome those barriers. 

This paper discusses the literature on single disease state self-management with an aim of identifying potentially useful approaches for supporting complex chronic disease (CCD) self-management. They discuss negotiation of the goals of care, communicating with patients, engaging patients in behaviour change, reducing information processing burden, minimizing the negative impact on health-related quality of life and suggestions for future research.

The authors undertook a population-based retrospective study set in Ontario in an attempt estimate the attributable costs of multimorbidity and assess whether the association between the level of multimorbidity and health system costs varies by socio-demographic factors in young (<65 years) and older (≥65 years) adults. They found that there was a positive association between health care costs and levels of multimorbidity that was significantly stronger for older than younger adults.

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