title: Chronic disease management: implementation and coordination of healthcare systems for depressed elderly persons.
abstract: The aim of this study was to evaluate the implementation of the research-based Chronic Care Model (CCM), discuss methods and summarise research recommendations for improving the care of depressed elderly persons. Interviews were conducted and state-of-the-art reviews employed. Three important areas emerged: (1) barriers to and facilitating factors in the implementation of the CCM; (2) the challenges involved in re-designing the delivery system and interdisciplinary team collaboration; and (3) empirical evidence pertaining to self-management support and how older persons manage to live with depressive ill-health. In conclusion, implementation research requires evidence-based knowledge, staff involvement and familiarity with the context in which development occurs.
authors.affiliation: Centre for Women's, Family and Child Health, Buskerud and Vestfold University College , Kongsberg , Norway.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Severinsson
authors.forename: Anne Lise
authors.initials: AL
authors.lastname: Holm
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000451:nursing* / Q000523:psychology*; D015400:Clinical Nursing Research / Q000458:organization & administration; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000451:nursing* / Q000523:psychology*; D019468:Disease Management; D055318:Evidence-Based Nursing / Q000458:organization & administration; D005851:Geriatric Nursing / Q000458:organization & administration*; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D033183:Interdisciplinary Communication; D007857:Leadership; D016294:Models, Nursing; D011568:Psychiatric Nursing / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration