title: Alberta's systems approach to chronic disease management and prevention utilizing the expanded chronic care model.
abstract: Alberta's integrated approach to chronic disease management programming embraces client-centred care, supports self-management and facilitates care across the continuum. This paper presents strategies implemented through collaboration with primary care to improve care of individuals with chronic conditions, evaluation evidence supporting success and lessons learned from the Alberta perspective.
authors.affiliation: Chronic Disease Prevention & Oral Health, Alberta Health Services.
authors.forename: Sandra
authors.initials: S
authors.lastname: Delon
authors.forename: Blair
authors.initials: B
authors.lastname: Mackinnon
mesh_terms: D000416:Alberta; D002908:Chronic Disease / Q000517:prevention & control*; D003256:Community Participation; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003661:Decision Support Techniques; D019468:Disease Management; D055317:Evidence-Based Practice; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care; D017146:Models, Organizational; D009313:National Health Programs; D019982:Organizational Case Studies; D010353:Patient Education as Topic; D010358:Patient Participation; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000458:organization & administration; D012648:Self Care; D018511:Systems Integration; D017749:Total Quality Management / Q000458:organization & administration