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This Paper sheds shed light on the requirements for patients with chronic disease as well as describe the changes necessary for current health systems to meet these needs and tackle the chronic disease burden. The Author discusses list and explain some of the models used currently to manage chronic disease, such as the Chronic Care Model (CCM), Innovative Care for Chronic Conditions (ICCC) framework, and Kaiser Pyramid. By describing these requirements, the paper formulate the business model of the traditional health system. Finally, I will connect each section with the new business model proposed in this chapter to assess its efforts towards changing the health system in order to tackle the chronic disease burden.


Chronic Diseases Models World Health Organization Kaiser Pyramid

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How to Cite
Moosa Al Riyami. (2021). A Comparative Study of Health System Management Models in Combating Chronic Diseases. International Journal on Economics, Finance and Sustainable Development, 3(3), 311-330.


  1. Coddington DC, Ackerman FK, Jr, Moore KD. Integrated health care systems: major issues and lessons learned. Healthcare Leadership and Management Report. 2001 Jan;9(1):1–. [PubMed] [Google Scholar]
  2. Fleury MJ. Integrated service networks: the Quebec case. Health Services Management Research. 2006 Aug;19(3):153–65. [PubMed] [Google Scholar]
  3. Leatt P, Pink GH, Guerriere M. Towards a Canadian model of integrated healthcare. Healthcarepapers. 2000 Spring;1(2):13–35. [PubMed] [Google Scholar]
  4. Powell Davies G. Chapter 1: Integration: an overview. In: Powell Davies G, Betbeder-Matibet L, Nicholls A, Reynolds F, Bonney MA, Traynor V, et al., editors. General practice integration: a literature review. Sydney AU: Centre for General Practice Integration Studies; 1996. pp. 3–7. [Google Scholar]
  5. Ross-van Dorp C. Speech to be given by the State Secretary of Health, Welfare and Sport, Clémence Ross-van Dorp, at the opening of the Integrated Care conference. The Hague: 2004. Nov 18, Available from: [Google Scholar]
  6. Gainer K, Watanabe M, Evans RG, McDonald M, Maldoff M, Noseworthy TW, et al. Canada health action: building on the legacy—volume II—synthesis reports and issues papers. Ottawa ON: Health Canada; Undated, Date Modified: 2004. May 28, [cited 2008 Oct 6]. Creating a culture of evidence-based decision making. Available from: [Google Scholar]
  7. Canadian Health Services Research Foundation. Health services research and evidence-based decision-making. Ottawa ON: Canadian Health Services Research Foundation; 2000. [Google Scholar]
  8. Fox DM. Evidence of evidence-based health policy: the politics of systematic reviews in coverage decisions. Health Affairs. 2005 Jan-Feb;24(1):114–22. [PubMed] [Google Scholar]
  9. Kiefer L, Frank J, Di Ruggiero E, Dobbin M, Manuel D, Gully PR, et al. Fostering evidence-based decision-making in Canada: examining the need for a Canadian population and public health evidence centre and research network. Canadian Journal of Public Health. 2005 May-Jun;96(3):I1–I19. following 200. [PubMed] [Google Scholar]
  10. Lavis JN, Posada FB, Haines A, Osei E. Use of research to inform public policymaking. Lancet. 2004 Oct-Nov;364(9445):1615–21. [PubMed] [Google Scholar]
  11. Lavis JN, Davies H, Oxman A, Denis J, Golden-Biddle K, Ferlie E. Towards systematic reviews that inform health care management and policy-making. Journal of Health Services Research and Policy. 2005 Jul;10(Suppl 1):35–48. [PubMed] [Google Scholar]
  12. Lomas J. Using research to inform healthcare managers’ and policy makers’ questions: from summative to interpretive synthesis. Healthcare Policy. 2005 Sep;1(1):55–71. [PMC free article] [PubMed] [Google Scholar]
  13. Atkins S, Lewin S, Smith H, Engel M, Fretheim A, Volmink J. Conducting a meta-ethnography of qualitative literature: lessons learnt. [cited 2008 May 2];BMC Medical Research Methodology [serial online] 2008 8:21. Available from: [PMC free article] [PubMed] [Google Scholar]
  14. Bravata DM, McDonald KM, Shojania KG, Sundaram V, Owens DK. Challenges in systematic reviews: synthesis of topics related to the delivery, organization, and financing of health care. Annals of Internal Medicine. 2005 Jun 21;142(12 Pt 2):1056–65. W250-3. [PubMed] [Google Scholar]
  15. Brereton P, Kitchenham BA, Budgen D, Turner M, Khalil M. Lessons from applying the systematic literature review process within the software engineering domain. The Journal of Systems and Software. 2007;80:571–83. [Google Scholar]
  16. Dixon-Woods M, Fitzpatrick R. Qualitative research in systematic reviews. Has established a place for itself. British Medical Journal. 2001 Oct 6;323(7316):765–6. [PMC free article] [PubMed] [Google Scholar]
  17. Petticrew M. Systematic reviews from astronomy to zoology: myths and misconceptions. British Medical Journal. 2001 Jan 13;322(7278):98–101. [PMC free article] [PubMed] [Google Scholar]
  18. Lavis JN, Davies HTO, Gruen RL, Walshe K, Farquhar CM. Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthcare Policy. 2006 Jan;1(2):21–33. [PMC free article] [PubMed] [Google Scholar]
  19. Wallace A, Croucher K, Bevan M, Jackson K, O’Malley L, Quilgars D. Evidence for policy making: some reflections on the application of systematic reviews to housing research. Housing Studies. 2006;21(2):297–314. [Google Scholar]
  20. Suter E, Oelke ND, Adair CE, Armitage GD. Ten key principles for successful health systems integration. Healthcare Quarterly. 2009 In press. [PMC free article] [PubMed] [Google Scholar]
  21. Suter E, Oelke ND, Adair CE, Waddell C, Armitage GD, Huebner LA. Health systems integration. Definitions, processes and impact: a research synthesis. [cited 2008 Nov 18];HSWRU Current research. 2007 Oct; Available from: [Google Scholar]
  22. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 4.2.6. Chichester JK: John Wiley & Son, Ltd; 2006. [cited 2006 Dec 28]. Available from: [Google Scholar]
  23. Khan KS, Biet G, Glanville J, Sowden AJ, Kleijnen J. Undertaking systematic reviews of research on effectiveness: CRD’s guidance for those carrying out or commissioning reviews. York, UK: NHS Centre for Reviews and Dissemination; 2001. [Google Scholar]
  24. Adair CE, Simpson L, Birdsell JM, Omelchuk K, Casebeer AL, Gardiner HP, et al. Performance measurement systems in health and mental health services: models, practices and effectiveness. A state of the science review. Edmonton AB: Alberta Heritage Foundation for Medical Research; 2003. [cited 2006 Feb 6]. Available from: [Google Scholar]
  25. Wilczynski NL, Haynes RB, Lavis JN, Ramkissoonsingh R, Arnold-Oatley AE. Optimal search strategies for detecting health services research studies in MEDLINE. Canadian Medical Association Journal. 2004 Nov 9;171(10):1179–85. [PMC free article] [PubMed] [Google Scholar]
  26. Aitken JB, Curtis R. Integrated health care: improving client care while providing opportunities for mental health counselors. Journal of Mental Health Counseling. 2004;26:321–31. [Google Scholar]
  27. Billings JR. What do we mean by integrated care? A European interpretation. Journal of Integrated Care. 2005 Oct;13(5):13–20. [Google Scholar]
  28. Blount A. Integrated primary care: organizing the evidence. Families, Systems and Health. 2003;21(2):121–33. [Google Scholar]
  29. Coster G. An academic perspective on the development of integrated care. [cited 2006 May 30];Healthcare Review Online [serial online] 1998 Aug 1;2(10) Available from: [Google Scholar]
  30. . Shortell SM, Anderson DA, Gillies RR, Mitchell JB, Morgan KL. The holographic organization. The Healthcare Forum Journal. 1993;36:20–6. [PubMed] [Google Scholar]
  31. Macdonald M. Using the balanced scorecard to align strategy and performance in long-term care. Healthcare Management Forum. 1998 Fall;11(3):33–8. [PubMed] [Google Scholar]
  32. Pink GH, McKillop I, Schraa EG, Preyra C, Montgomery C, Baker GR. Creating a balanced scorecard for a hospital system. Journal of Health Care Finance. 2001 Spring;27(3):1–20. [PubMed] [Google Scholar]
  33. Peters K, Ryan H. An integrated dialysis delivery network in Ontario. CANNT Journal. 1999 Winter;9(1):20–3. [PubMed] [Google Scholar]
  34. Curtright JW, Stolp-Smith SC, Edell ES. Strategic performance management: development of a performance measurement system at the Mayo Clinic. Journal of Healthcare Management. 2000 Jan-Feb;45(1):58–68. [PubMed] [Google Scholar]
  35. Jones MLH, Filip SJ, Smith H, Remsburg-Bell E. Strategy management system in perinatal services: the role of a patient resource manager. Lippincott’s Case Management. 2002 Jan-Feb;7(1):27–42. [PubMed] [Google Scholar]
  36. Bilkhu-Thompson MK. A process evaluation of a health care balanced scorecard. Journal of Health Care Finance. 2003 Winter;30(2):37–64. [PubMed] [Google Scholar]
  37. Sugarman PA, Watkins J. Balancing the scorecard: key performance indicators in a complex healthcare setting. Clinician in Management. 2004;12:129–32. [Google Scholar]
  38. Mohr JJ, Batalden PB. Improving safety on the front lines: the role of clinical microsystems. Quality and safety in health care. 2002 Mar;11(1):45–50. [PMC free article] [PubMed] [Google Scholar]
  39. Nelson EC, Batalden PB, Huber TP, Mohr JJ, Godfrey MM, Headrick LA, et al. Microsystems in health care: part 1: learning from high-performing front-line clinical units. The Joint Commission Journal on Quality Improvement. 2002 Sep;28(9):472–93. [PubMed] [Google Scholar]
  40. Suter E, Hyman M, Oelke N. Measuring key integration outcomes: a case study of a large urban health centre. Health Care Management Review. 2007 Jul-Sep;32(3):226–35. [PubMed] [Google Scholar]
  41. Ahgren B, Axelsson R. Evaluating integrated health care: a model for measurement. [cited 2005 Sep 15];International Journal of Integrated Care [serial online] 2005 Aug 31;5 Available from: [Google Scholar]
  42. Lee K, Wan TT. Effects of hospitals’ structural clinical integration on efficiency and patient outcome. Health Services Management Research. 2002 Nov;15(4):234–44. [PubMed] [Google Scholar]
  43. Lomas J, Culyer T, McCutcheon C, McAuley L, Saw S. Conceptualizing and combining evidence for health system guidance. Ottawa ON: Canadian Health Services Research Foundation; 2005. [Google Scholar]