I am wondering if anyone knows of any examples of primary medical care settings that have applied a chronic disease management model (for lack of a better term) to address a particular health issue (e.g. depression, diabetes).  Within the setting, which might be a community health centre or family medical practice, this would mean having an information system in place e.g. electronic medical record, evidence based practice, reo-orientation of services, self-care supports, as well as efforts to improve community health through involvement in policies that create supportive envioronments, address determinants of health and enable community devleopment.  

I would be particularly interested in Canadian examples, although I welcome input from all.  I would also welcome any discussion or debate about the role of primary care services in addressing determinants of health.

Jennifer Boyko, MHSc
Project Manager
Ontario Centre for Collaborative Primary Health Care
40 Forest Ave., Hamilton, L8N1X1
tel. 905-522-1155 ext.5953
fax. 905-521-6107
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