<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5307</journal-id>
<journal-title><![CDATA[Investigación y Educación en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. educ. enferm]]></abbrev-journal-title>
<issn>0120-5307</issn>
<publisher>
<publisher-name><![CDATA[Imprenta Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-53072017000100008</article-id>
<article-id pub-id-type="doi">10.17533/udea.iee.v35n1a02</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Care models for people with chronic diseases: integrative review]]></article-title>
<article-title xml:lang="es"><![CDATA[Modelos de cuidado de personas con enfermedades crónicas: una revisión integrativa]]></article-title>
<article-title xml:lang="pt"><![CDATA[A utilização de modelos de cuidado com doenças crônicas: revisão integrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins-Ulbrich]]></surname>
<given-names><![CDATA[Elis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mattei]]></surname>
<given-names><![CDATA[Ângela Taís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mantovani]]></surname>
<given-names><![CDATA[Maria de Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bittencourt-Madureira]]></surname>
<given-names><![CDATA[Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puchalski-Kalinke]]></surname>
<given-names><![CDATA[Luciana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal University of Paraná  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Federal University of Parana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Federal University of Parana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Federal University of Parana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Federal University of Parana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>8</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-53072017000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-53072017000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-53072017000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective. To identify the care models and the impact of the use of these in the care of people with chronic diseases reported in the literature in the years 2000 to 2014.  Methods. Integrative literature review in which the following guiding question was adopted: Which care models are used in the care of patients with chronic diseases and what impacts can be verified through their application? We consulted the bibliographic databases Virtual Health Library, LILACS, MEDLINE, Spanish Bibliographic Index of Health Sciences and the Database of Nursing.  Results. The sample consisted of 17 articles on the topic of interest. Three categories emerged from the analysis: health care costs, model-based care experience, and patient autonomy. The articles addressed self-management, case management and care model for people with chronic diseases. The major impacts on the use of the models were: a better relationship between the patient and the health professional, an increase in the autonomy of the person with chronic illness, and a reduction in personal and health care expenditure.  Conclusion. The use of care models for people with chronic diseases presents benefits to the patient and to the health system. Nurses must actively participate in the application of these care models of people with this type of illness.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo. Identificar los modelos de cuidado y el impacto de la utilización de éstos en el cuidado de personas con enfermedades crónicas reportados en la literatura en los años 2000 a 2014.  Métodos. Revisión integrativa de la literatura en la que se tuvo la pregunta norteadora: ¿cuáles modelos de cuidado son utilizados en la atención de los pacientes con enfermedades crónicas y qué impactos pueden ser verificados mediante su aplicación? Se consultaron las bases bibliográficas Biblioteca Virtual em Saúde, LILACS, MEDLINE, Índice Bibliográfico Espanhol de Ciências da Saúde y la Base de dados em Enfermagem.  Resultados.  La muestra estuvo constituida por 17 artículos sobre el tema de interés. Del análisis emergieron tres categorías: los costos del cuidado de la salud, la experiencia de atención basada en un modelo y la autonomía del paciente. Los artículos abordaron la autogestión, la gestión de casos y el modelo de cuidado a personas con enfermedades crónicas. Los mayores impactos en la utilización de los modelos fueron: una mejor relación del paciente con el profesional de salud, aumento de la autonomía de la persona con enfermedad crónica y la reducción del gasto en salud personal y del sistema sanitario.  Conclusión.  La utilización de modelos de cuidado de personas con enfermedades crónicas presenta beneficios al paciente y al sistema de salud, modelos en los cueles los enfermeros deben participar activamente en su aplicación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Objetivo. Identificar os modelos de cuidado e o impacto da utilização destes no atendimento à pacientes com doenças crônicas, publicados na literatura de 2000 a 2014.  Métodos. Revisão integrativa em que a questão norteadora foi: Quais modelos de cuidado são utilizados no atendimento aos pacientes com doenças crônicas e que impactos podem ser verificados mediante sua aplicação? As bases de dados pesquisadas foram o diretório da Biblioteca Virtual em Saúde, nas bases Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online, Índice Bibliográfico Espanhol de Ciências da Saúde e a Base de dados em Enfermagem.  Resultados. A amostra foi composta de 17 artigos sobre o tema de interesse. Na análise emergiram três categorias: custos em saúde, experiência do cuidado com base em um modelo e autonomia do paciente. Os artigos abordaram a autogestão, a gestão de casos e o modelo de cuidados para pessoas com doenças crônicas. Os impactos da utilização dos modelos foram: melhor relação do paciente com o profissional de saúde, aumento da autonomia da pessoa com doença crônica e redução dos gastos em saúde.  Conclusão. O uso de modelos de cuidados para as pessoas com doenças crônicas apresenta benefícios para o paciente e para o sistema de saúde. Os Enfermeiros devem participar ativamente na implementação desses modelos de cuidados para as pessoas com estas doenças.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[chronic disease]]></kwd>
<kwd lng="en"><![CDATA[models, nursing]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
<kwd lng="en"><![CDATA[nursing, practical]]></kwd>
<kwd lng="es"><![CDATA[enfermedad crónica]]></kwd>
<kwd lng="es"><![CDATA[modelos de enfermería]]></kwd>
<kwd lng="es"><![CDATA[atención de enfermería]]></kwd>
<kwd lng="es"><![CDATA[enfermería práctica]]></kwd>
<kwd lng="pt"><![CDATA[doença crônica]]></kwd>
<kwd lng="pt"><![CDATA[modelos de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem prática]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<collab>International Council of Nurses</collab>
<source><![CDATA[Delivering quality, serving communities nurses leading care innovations]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Genebra, Suíça ]]></publisher-loc>
<publisher-name><![CDATA[International Council of Nurses]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Portaria nº 4.279. Estabelece as diretrizes para a organização da Rede de Atenção à Saúde no âmbito do Sistema Único de Saúde (SUS)]]></article-title>
<collab>Brasil</collab>
<source><![CDATA[Diário Oficial da União]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Modelo de atenção crônica: inserção de uma teoria enfermagem]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Furtado]]></surname>
<given-names><![CDATA[LG]]></given-names>
</name>
<name>
<surname><![CDATA[Nóbrega]]></surname>
<given-names><![CDATA[MML]]></given-names>
</name>
</person-group>
<source><![CDATA[Texto Contexto Enferm]]></source>
<year>2013</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1197-204</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evidence on the chronic care model in the new millennium]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coleman]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Austin]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Brach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wagner]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
</person-group>
<source><![CDATA[Health Affairs]]></source>
<year>2009</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[EV]]></given-names>
</name>
</person-group>
<source><![CDATA[As redes de atenção à saúde]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Brasília (DF) ]]></publisher-loc>
<publisher-name><![CDATA[Organização Pan Americana de Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Integrative Reviews of Nursing Research]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ganong]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
</person-group>
<source><![CDATA[Res. Nurs. Health]]></source>
<year>1987</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Experiences of care planning in England: interviews with patients with long term conditions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Newbould]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Burt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bower]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Blakeman]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kennedy]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Roland]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[BMC Fam. Pract]]></source>
<year>2012</year>
<volume>13</volume>
<numero>71</numero>
<issue>71</issue>
<page-range>1- 9</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A Pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boyd]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Shadmi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Conwell]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Griswold]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Leff]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Brager]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[J. Gen. Int. Med]]></source>
<year>2008</year>
<volume>23</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>536-42</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Improving medical and psychiatric outcomes among individuals with bipolar disorder: A randomized controlled trial]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kilbourne]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Post]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Nossek]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Drill]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cooley]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<source><![CDATA[Psych. Serv]]></source>
<year>2008</year>
<volume>59</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>760-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A goal attainment pain management program for older adults with arthritis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
</person-group>
<source><![CDATA[Pain Manag Nurs]]></source>
<year>2008</year>
<volume>9</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>171-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Introducing the New England 4G framework of guided self-health for people in rural areas with physical and psychological conditions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stuhlmille]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tolchard]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Aust. J. Rural Health]]></source>
<year>2012</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>285-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalence and benefits of care plans and care planning for people with long-term conditions in England]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roland]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Paddison]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Reeves]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Abel]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Boer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[J. Health Serv. Res. Policy]]></source>
<year>2012</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>64-71</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pre-hospital discharge planning: empowering elderly patients through choice]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merriman]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<source><![CDATA[Crit. Care Nurs. Q]]></source>
<year>2008</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>52-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Carelink: Partners in a caring model: a cardiac management program for home care]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shellman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lacey]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Clemmens]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Home Healthc Nurse]]></source>
<year>2008</year>
<volume>26</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>582-8</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Nurse practitioner-led multidisciplinary teams to improve chronic illness care: The unique strengths of nurse practitioners applied to shared medical appointments/group visits]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Watts]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Gee]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;day]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Schaub]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Lawrence]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aron]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[J. Am. Acad. Nurse Pract]]></source>
<year>2009</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>167-72</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comprehensive Primary Care for Older Patients with Multiple Chronic Conditions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boult]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wieland]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
</person-group>
<source><![CDATA[JAMA]]></source>
<year>2010</year>
<volume>304</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>1936-43</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The promoting effective advance care for elders (PEACE) randomized pilot study: theoretical framework and study design]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Hazelett]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Radwany]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ertle]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fosnight]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<source><![CDATA[Popul. Health Manage]]></source>
<year>2012</year>
<volume>15</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>71-7</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Patient-Centered Plan-of-Care Tool for Improving Clinical Outcomes]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rocco]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Scher]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Basberg]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Yalamanchi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Baker-Gena]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
</person-group>
<source><![CDATA[Q. Manage. Health Care]]></source>
<year>2011</year>
<volume>20</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>89-97</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Guided Care: a new frontier for adults with chronic conditions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sherry]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Grieve]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Giddens]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Groves]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Frey]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Prof. Case Manage]]></source>
<year>2008</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>151-8</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Care Coordination for Patients With Complex Health Profiles in Inpatient and Outpatient Settings]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berry]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Rock]]></surname>
<given-names><![CDATA[BL]]></given-names>
</name>
<name>
<surname><![CDATA[Houskamp]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Brueggeman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Mayo Clin. Proc]]></source>
<year>2013</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>184-94</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Improving diabetes patient outcomes: Framing research into the chronic care model]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dancer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Courtney]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Acad. Nurse Pract]]></source>
<year>2010</year>
<volume>22</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>580-5</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The community case management program: For 12 years, caring at its best]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luzinski]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Stockbridge]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Craighead]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Baylis]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sideman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Geriatr. Nurs]]></source>
<year>2008</year>
<volume>29</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>207-15</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Coordinated multidisciplinary care for Huntington&#8217;s disease. An outpatient department]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veenhuizen]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Tibben]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Brain Res Bull]]></source>
<year>2009</year>
<volume>6</volume>
<numero>77</numero>
<issue>77</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Development of protocols for the discharge of hypertensive and diabetic patients: experience report]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mattei]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Arthur]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Mantovani]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Ulbrich]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[IML]]></given-names>
</name>
</person-group>
<source><![CDATA[Cienc. Cuid. Saude]]></source>
<year>2014</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>160-5</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Self-management: its place in the management of chronic illness]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Swerissen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Belfrage]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Aust. Health Rev]]></source>
<year>2003</year>
<volume>26</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>34-42</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Improving outcomes in chronic illness. Manage]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wagner]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
<name>
<surname><![CDATA[Austin]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Von Korff]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Care Q]]></source>
<year>1996</year>
<volume>4</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>12-25</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
