A multidisciplinary reference framework to support implementation and assessment of diabetes care in community settings: study design

Abstract

Diabetes is a disease presenting multifaceted challenges. A holistic approach is needed to properly address it. The Chronic Care Model, worldwide reference for managing chronic disease in community settings, support implementation at micro-meso--macro level. We present a multi-disciplinary framework that support the uptake of the Chronic Care Model. This framework was tested to support the implementation of a research project focused on Diabetes Management through personal health systems