HTA Details
Optimizing Chronic Disease Management in the Community (Outpatient) Setting
- Publication date
-
2013-September-01
- Status
- Final
- Topic Area
- Home and Community Care
- Recommendation
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Ontario Health Technology Advisory Committee Recommendation
- The Ontario Health Technology Advisory Committee takes this opportunity to re-emphasize that in managing patients with chronic disease (as in all other patient encounters) clinicians must recognize that unique patient factors – such as culture, language, education, income, and rurality – may influence both the clinical impact and patient acceptability of interventions such as dietary modification or depression/anxiety screening, as well as the locus of services (e.g., rural/urban, hospital/outpatient).
- Ministry Response
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The Ministry of Health and Long-Term Care endorses these recommendations.
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To read the full OHTAC Recommendation Report for this topic, contact our Health Innovation team using the contact form to request a digital copy.
A chronic disease is any condition that someone lives with over the long term, such as heart disease, lung disease or diabetes. Chronic diseases are difficult for patients to manage and challenging for the health system. We need to find better ways for the health system to help support people with chronic diseases.
Effective management of chronic disease is better for patients, families, and the health system. This review looked at the following strategies: discharge planning; in-home care; continuity of care; advanced access scheduling; screening and management of depression; self-management support; specialized nursing practice; electronic tools for health information exchange; and health technologies. The goal was to determine which strategies produced the best outcomes for patients and were the most efficient for our health system.
Supporting Documents
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Discharge Planning in Chronic Conditions: An Evidence-Based Analysis
In-Home Care for Optimizing Chronic Disease Management in the Community: An Evidence-Based Analysis
Screening and Management of Depression for Adults With Chronic Diseases: An Evidence-Based Analysis
Self-Management Support Interventions for Persons With Chronic Disease: An Evidence-Based Analysis
Electronic Tools for Health Information Exchange: An Evidence-Based Analysis
Optimizing Chronic Disease Management Mega-Analysis: Economic Evaluation
Last Updated: February 24, 2026
