Developing contextualized knowledge to support health and person-driven, goal-directed care for persons with MCC |
How can the interacting effects of MCC on health be understood? |
What are the mechanisms of interaction among relevant contextual factors and how do they affect health and health care? |
What are the additive or multiplicative effects or burdens of living with or caring for multiple chronic illnesses? |
What combinations of treatments, services, technologies, and resources help individuals reach their goals efficiently, effectively, and safely? |
How can patients be supported in their self-management? |
What are the diverse factors affecting personal goal setting and goal attainment? |
What are practical and effective models for integrating mental and physical health? |
How can effective models of rapid cycle knowledge generation be developed and implemented? |
What can be learned from international comparisons? |
What outcomes and measures are most relevant for persons with MCC and their caregivers? |
What generalizable interventions are effective across different combinations of MCC? |
What are the causes, duration, and severity of MCC in the population, what are the resulting disabilities, and which interacting aspects of context are most important for treatment effectiveness? |
Achieving a culture, system, technology, and communities that facilitate person-driven, goal-directed care and self-management that improves health |
What approaches create a culture that supports the person-driven, goal-directed management of MCC? |
What supportive systems and technologies are needed to improve the health and health care of persons with MCC? |
How can the needed workforce, patient, family capacity, and peer-support be enhanced? |
How do multidirectional linkages that include community resources affect the health and health care of persons with MCC? |
How can we provide the needed training, organizational change, and team building? |
What are effect of incentives through policy and reimbursement systems? |
MCC = multiple chronic conditions.