Adapting chronic care models for diabetes care delivery in low-and-middle-income countries: a review
Open accessAbstract
A contextual review of models for chronic care was done to develop a context-adapted chronic care model-based service delivery model for chronic conditions including diabetes. The Philippines was used as the setting of a low-to-middle-income country. A context-based narrative review of existing models for chronic care was conducted. A situational analysis was done at the grassroots level, involving the leaders and members of the community, the patients, the local health system and the healthcare providers. A second analysis making use of certain organizational theories was done to explore on improving feasibility and acceptability of organizing care for chronic conditions. The analyses indicated that care for chronic conditions may be introduced, considering the needs of people with diabetes in particular and the community in general as recipients of care, and the issues and factors that may affect the healthcare workers and the health system as providers of this care. The context-adapted chronic care model-based service delivery model was constructed accordingly. Key features are: incorporation of chronic care in the health system's services; assimilation of chronic care delivery with the other responsibilities of the healthcare workers but with redistribution of certain tasks; and ensuring that the recipients of care experience the whole spectrum of basic chronic care that includes education and promotion in the general population, risk identification, screening, counseling including self-care development, and clinical management of the chronic condition and any co-morbidities, regardless of level of control of the condition. This way, low-to-middle income countries can introduce and improve care for chronic conditions without entailing much additional demand on their limited resources.
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A review of chronic care programmes in the Philippines showed that this approach is feasible, but only if certain conditions are met: incorporation of chronic care throughout the health system; acceptance by health care staff of these responsibilities, facilitated by task sharing; ensuring that patients receive education to support self-care; and using health promotion activities in the general人口,
“A review of chronic care programmes in the Philippines also showed that this approach is feasible, but only if certain conditions are met, namely: (i) incorporation of chronic care throughout the health system; (ii) acceptance by health care staff of these responsibilities, facilitated by task sharing; (iii) ensuring that patients receive education to support self-care; and (iv) using health”
From Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries (2019) · cites this paper as [42]
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Two new Later Stone Age sites from the Final Pleistocene in the Falémé Valley, eastern Senegal
Ndiaye, M., Lespez, L., Tribolo, C., Rassé, M., Hadjas, I., Davidoux, S., Huysecom, É., & Douze, K. (2024) · Monash University Research Portal (Monash University) · doi:10.3929/ethz-b-000667478 · Cited by 24,015 · see citing works
Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.5.1047 · Cited by 15,297 · see citing works
International Diabetes Federation 2017
Carracher, A. M., Marathe, P. H., & Close, K. L. (2018) · Journal of Diabetes · doi:10.1111/1753-0407.12644 · Cited by 13,369 · see citing works
Correspondence - Tranexamic acid for traumatic brain injury
(2005) · London School of Economics and Political Science Theses Online (London School of Economics and Political Science) · doi:10.1016/s0140-6736 · Cited by 11,894 · see citing works
Strategic Responses to Institutional Processes
Oliver, C. (1991) · The Academy of Management Review · doi:10.5465/amr.1991.4279002 · Cited by 8,950 · see citing works
Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations
GREENHALGH, T., ROBERT, G., MACFARLANE, F., BATE, P., & KYRIAKIDOU, O. (2004) · The Milbank Quarterly · doi:10.1111/j.0887-378x.2004.00325.x · Cited by 7,448 · see citing works
Patient Self-management of Chronic Disease in Primary Care
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.19.2469 · Cited by 3,598 · see citing works
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961 · see citing works
Chronic disease management: what will it take to improve care for chronic illness?
Eh, W. (1998) · PubMed · Cited by 2,095 · see citing works
Evidence on the Chronic Care Model in the new millennium
Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009) · Health Affairs · doi:10.1377/hlthaff.28.1.75 · Cited by 1,606 · see citing works
The burden and costs of chronic diseases in low-income and middle-income countries.
Abegunde, D. O., Mathers, C. D., Adam, T., Ortegon, M., & Strong, K. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61696-1 · Cited by 1,603 · see citing works
Overcoming health-systems constraints to achieve the Millennium Development Goals
Travis, P., Bennett, S., Haines, A., Pang, T., Bhutta, Z., Hyder, A. A., Pielemeier, N. R., Mills, A., & Evans, T. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16987-0 · Cited by 860 · see citing works
Improving the quality of health care for chronic conditions
Epping‐Jordan, J. E. (2004) · BMJ Quality & Safety · doi:10.1136/qshc.2004.010744 · Cited by 775 · see citing works
Psychological adjustment to chronic disease
de Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61078-8 · Cited by 759 · see citing works
Barr, V., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D., & Salivaras, S. (2003) · Healthcare Quarterly · doi:10.12927/hcq.2003.16763 · Cited by 686 · see citing works
Beaglehole, R., Epping-Jordan, J., Patel, V., Chopra, M., Ebrahim, S., Kidd, M., & Haines, A. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61404-x · Cited by 684 · see citing works
UN High-Level meeting on non-communicable diseases: addressing four questions
Beaglehole, R., Bonita, R., Alleyne, G., Horton, R., Li, L., Lincoln, P., Mbanya, J. C., McKee, M., Moodie, R., Nishtar, S., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60879-9 · Cited by 402 · see citing works
Reduced premature mortality in Rwanda: lessons from success
Farmer, P. E., Nutt, C. T., Wagner, C. M., Sekabaraga, C., Nuthulaganti, T., Weigel, J., Farmer, D. B., Habinshuti, A., Mugeni, S. D., Karasi, J.-C., et al. (2013) · BMJ · doi:10.1136/bmj.f65 · Cited by 195 · see citing works
An Evaluation of Collaborative Interventions to Improve Chronic Illness Care
Cretin, S., Shortell, S. M., & Keeler, E. B. (2004) · Evaluation Review · doi:10.1177/0193841x03256298 · Cited by 165 · see citing works
Use of Chronic Care Model Elements Is Associated With Higher-Quality Care for Diabetes
Nutting, P. A., Dickinson, W. P., Dickinson, L. M., Nelson, C. C., King, D. K., Crabtree, B. F., & Glasgow, R. E. (2007) · The Annals of Family Medicine · doi:10.1370/afm.610 · Cited by 165 · see citing works
Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis
Stückler, D., Basu, S., & McKee, M. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000241 · Cited by 147 · see citing works
Meessen, B., Zhenzhong, Z., Damme, W. V., Devadasan, N., Criel, B., & Bloom, G. (2003) · Tropical Medicine & International Health · doi:10.1046/j.1365-3156.2003.01081.x · Cited by 96 · see citing works
Overview of devolution of health services in the Philippines
Grundy, J., Healy, V., Gorgolon, L., & Sandig, E. (2003) · Rural and Remote Health · doi:10.22605/rrh220 · Cited by 81 · see citing works
The Ljubljana Charter on Reforming Health Care
(1996) · BMJ · doi:10.1136/bmj.312.7047.1664 · Cited by 49 · see citing works
Ku, G. M., & Kegels, G. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005317 · Cited by 42 · see citing works
Primary health care in the Philippines: Banking on the barangays?
Phillips, D. R. (1986) · Social Science & Medicine · doi:10.1016/0277-9536(86)90269-8 · Cited by 24 · see citing works
Reason and Rationality in Health and Human Services Delivery
Pardeck, J. T., Longino, C. F., & Murphy, J. W. (1998) · Journal of Health & Social Policy · doi:10.1300/j045v09n04_01 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Longino CF, Pardeck JT, Murphy JW. Reason and rationality in health service delivery. New York: Haworth Press, 1998
- Singh D, Ham D. Improving care for people with long-term conditions: a review of UK and international frameworks. Birm- ingham: University of Birmingham Health Services Management Center and the National Health Systems Institute on Innovation and Improvement, 2006 24 Pan American Health Organization. Innovative care for chronic conditions: Organizing and delivering high quality care for chronic non-communicable diseases in the Americas. Washington, DC: PAHO, 2013 25
Cited by
Sorted by citations
Community mental health care worldwide: current status and further developments
Thornicroft, G., Deb, T., & Henderson, C. (2016) · World Psychiatry · doi:10.1002/wps.20349 · Cited by 374 · see citing works
Thornicroft, G., Ahuja, S., Barber, S., Chisholm, D., Collins, P. Y., Docrat, S., Fairall, L., Lempp, H., Niaz, U., Ngo, V., et al. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30298-0 · Cited by 138 · see citing works
Lall, D., Engel, N., Devadasan, N., Horstman, K., & Criel, B. (2018) · BMJ Global Health · doi:10.1136/bmjgh-2018-001077 · Cited by 102 · see citing works
for the EMPOWER-PAR Investigators, Ramli, A. S., Selvarajah, S., Daud, M. H., Haniff, J., Abdul-Razak, S., Sidik, T. M. I. T. A. B., Bujang, M. A., Chew, B., Rahman, T. H. A., et al. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0557-1 · Cited by 86 · see citing works
Pham, H. T. K., Kieu, T. T. M., Duong, T. D., Nguyen, K. D. V., Tran, N. Q., Tran, T. H., & Ng, J. Y. S. (2020) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2020.108051 · Cited by 51 · see citing works
Ugwu, E. T., Young, E. E., & Nkpozi, M. O. (2020) · BMC Family Practice · doi:10.1186/s12875-020-01202-0 · Cited by 44 · see citing works
Pardoel, Z., Reijneveld, S. A., Lensink, R., Widyaningsih, V., Probandari, A. N., Stein, C., Hoang, G. N., Koot, J. A. R., Fenenga, C., Postma, M. J., et al. (2021) · BMC Public Health · doi:10.1186/s12889-021-11244-3 · Cited by 32 · see citing works
Pati, S., Pati, S., van den Akker, M., Schellevis, F., Sahoo, K. C., & Burgers, J. S. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01454-4 · Cited by 22 · see citing works
A Guideline for Contextual Adaptation of Community-Based Health Interventions
Pardoel, Z., Reijneveld, S. A., Postma, M. J., Lensink, R., Koot, J. A. R., Swe, K. H., Nguyen, M. V., Pamungkasari, E. P., Tenkink, L., Vervoort, J. P. M., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19105790 · Cited by 20 · see citing works
Bosire, E. N., Norris, S. A., Goudge, J., & Mendenhall, E. (2021) · Global Health Science and Practice · doi:10.9745/ghsp-d-20-00104 · Cited by 18 · see citing works
Laatikainen, T. K., Inglin, L., Collins, D., Ciobanu, A., Curocichin, G., Șalaru, V., Zatic, T., Anisei, A., Chiosa, D., Munteanu, M., et al. (2020) · European Journal of Public Health · doi:10.1093/eurpub/ckaa037 · Cited by 15 · see citing works
Development of an evaluation tool for geriatric rehabilitation care
Janssen, M. M., Vos, W., & Luijkx, K. G. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1213-0 · Cited by 15 · see citing works
Reidpath, D. D., Soyiri, I. N., Jahan, N. K., Mohan, D., Ahmad, B., Ahmad, M. P., Kassim, Z., & Allotey, P. A. (2018) · International Journal of Public Health · doi:10.1007/s00038-017-1072-4 · Cited by 11 · see citing works
Adaptation of complex interventions for people with long-term conditions: a scoping review
Uddin, J., Joshi, V. L., Wells, V., Faruque, M., Mashreky, S. R., Movsisyan, A., Evans, R., Moore, G. F., & Taylor, R. S. (2024) · Translational Behavioral Medicine · doi:10.1093/tbm/ibae031 · Cited by 9 · see citing works
Pitchalard, K., Wimolphan, P., Singkhorn, O., Purkey, E., & Moonpanane, K. (2022) · Health Equity · doi:10.1089/heq.2021.0161 · Cited by 7 · see citing works
Martens, M., Chham, S., Črt, Z., Danhieux, K., Wouters, E., Chhim, S., Susič, A., Ketiš, Z. K., Ir, P., Remmen, R., et al. (2024) · International Journal of Integrated Care · doi:10.5334/ijic.7650 · Cited by 4 · see citing works
Ikram, N., Lewandowski, L. B., Watt, M. H., & Scott, C. (2024) · Pediatric Rheumatology · doi:10.1186/s12969-024-00994-0 · Cited by 4 · see citing works
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Oliveira, C. N., Soares, D. A., Amorim, W. W., Louzado, J. A., Cortes, M. L., Mistro, S., & Oliveira, M. G. (2021) · Avances en Enfermería · doi:10.15446/av.enferm.v39n2.85762 · Cited by 4 · see citing works
Quynh, A. L. H. T., Tam, N. M., Nguyễn, V. Q. H., Quang, T. D., Thi, L. L. C., Thi, M. T. N., Van, C. L., Derese, A., Pype, P. F., Peersman, W., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-090734 · Cited by 3 · see citing works
Outpatient Diabetes Management and the Chronic Care Model
Rodríguez‐Saldaña, J. (2019) · Springer eBooks · doi:10.1007/978-3-030-11815-0_20 · Cited by 2 · see citing works
Pati, S., Pati, S., van den Akker, M., Schellevis, F., Sahoo, K. C., & Burgers, J. S. (2020) · doi:10.21203/rs.3.rs-22272/v2 · Cited by 2 · see citing works
Molecular Mechanism of Action for the Geranyl Flavonoid to Counter Dyslipidemia in Diabetic Milieu
Niu, H., Li, K., Ma, L., Gong, W., & Huang, W. (2015) · Journal of Food and Nutrition Research · doi:10.12691/jfnr-3-6-3 · Cited by 1 · see citing works
Conformity of Diabetes Mobile apps with the Chronic Care Model
Salari, R., Kalhori, S. R. N., Ghazisaeidi, M., & Fatehi, F. (2019) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2019-000017 · Cited by 1 · see citing works
Models of Diabetes Care in Low‐ and Middle‐Income Countries
Beran, D., Perone, S. A., & Lazo‐Porras, M. (2024) · doi:10.1002/9781119697473.ch75 · Cited by 1 · see citing works
The contribution of community-based programmes to health
Pardoel, Z. (2024) · doi:10.33612/diss.925136990 · Cited by 1 · see citing works
Ikram, N., Lewandowski, L. B., Watt, M. H., & Scott, C. (2024) · Research Square · doi:10.21203/rs.3.rs-3919073/v1 · Cited by 1 · see citing works
Pati, S., Pati, S., van den Akker, M., Schellevis, F., Sahoo, K. C., & Burgers, J. S. (2020) · doi:10.21203/rs.3.rs-22272/v1
Fidelity and costs of implementing the integrated chronic disease management model in South Africa
Lebina, L. (2021) · Open University of Cape Town (University of Cape Town)
Outpatient Diabetes Management and the Chronic Care Model
Rodríguez‐Saldaña, J. (2023) · Springer eBooks · doi:10.1007/978-3-031-25519-9_22
Pardoel, Z., Reijneveld, S. A., Lensink, R., Widyaningsih, V., Probandari, A., Stein, C., Hoang, G. N., Koot, J. A. R., Fenenga, C., Postma, M., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16862743
Ikram, N., Lewandowski, L. B., Watt, M. H., & Scott, C. (2024) · Figshare · doi:10.6084/m9.figshare.25919009
Pardoel, Z., Reijneveld, S. A., Lensink, R., Widyaningsih, V., Probandari, A., Stein, C., Hoang, G. N., Koot, J. A. R., Fenenga, C., Postma, M., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16862746
Ugwu, E., Young, E. E., & Nkpozi, M. (2020) · Figshare · doi:10.6084/m9.figshare.12599242
Pardoel, Z., Reijneveld, S. A., Lensink, R., Widyaningsih, V., Probandari, A., Stein, C., Hoang, G. N., Koot, J. A. R., Fenenga, C., Postma, M., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16862749
Lazo-Porras, M., Bernabé‐Ortiz, A., Damasceno, A. A. M., Sharma, S. K., Praveen, D., Mayo‐Puchoc, N., Pastrana, N. A., Maccera, M. B., Chauque, A., Cahuana-Hurtado, L., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-109433
Feng, Y., Tanghal, R. D., Laolao, B. I., Shi, J., Bi, Y., Wang, J., Wang, M., Jin, Y., & Liu, Y. (2026) · Human Resources for Health · doi:10.1186/s12960-025-01041-z
- Authors
- Ku, G. M. V., & Kegels, G.
- Affiliations
- Instituut voor Tropische Geneeskunde (BE)
- Venue
- World Journal of Diabetes
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2015
- Volume
- 6
- Issue
- 4
- Pages
- 566
- ISSN
- 1948-9358 (ISSN-L)
- PMC
- PMC4434077
- OpenAlex
- W2402423016
- Cited by
- 37
- References
- 28
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 1 · 2022: 3 · 2021: 8 · 2020: 6 · 2019: 3 · 2018: 3 · 2016: 2 · 2015: 1
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Diabetes (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Instituut voor Tropische Geneeskunde
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- Chronic Care Model, diabetes management, low- and middle-income countries, service delivery models, chronic disease, Philippines, health system integration, diabetes screening, diabetes self-care, diabetes education, organizational theory, feasibility and acceptability
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