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Healthcare
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Advances in Public Health and Healthcare Management for Chronic Care
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Advances in Public Health and Healthcare Management for Chronic Care

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: 10 October 2025 | Viewed by 356

Special Issue Editors

Prof. Dr. Fabio Petrelli

E-Mail Website
Guest Editor
School of Pharmacy, Polo Medicina Sperimentale e Sanità Pubblica "Stefania Scuri", Via Madonna delle Carceri 9, 62032 Camerino, Italy
Interests: diabetes public health; diabetes management; diabetes health management; diabetes health care; diabetes chronic care; diabetes nursing care
Special Issues, Collections and Topics in MDPI journals
Dr. Giovanni Cangelosi

E-Mail Website
Guest Editor Assistant
Units of Diabetology, ASUR Marche, Area Vasta 4, 63900 Fermo, Italy
Interests: public health; chronic disease; healthcare management; prevention; health management; lifestyle medicine; nursing practice

Special Issue Information

Dear Colleagues,

This Special Issue of Healthcare will focus on the management of chronic diseases. Systematic/scoping/narrative reviews or protocols of reviews related to these issues are welcome. One of the primary focuses is to identify news model of care for different chronic diseases in Medical and Nursing practice. These approaches should promote an improving satisfaction for patients and the community. In chronic care, the personalized management of care improves clinical and psychosocial outcomes, and innovative models have been recommended in several areas of clinical practice, with significantly positive results in the quality of care and patient satisfaction, emphasizing the individual needs of each patient, and directing care in this same direction. This Special Issue aimed to demonstrated with our studies that it is necessary to place the patient in the center of care, to increase better results and health-related quality of life in general. Topics of interest include, but are not limited, to the following:

  • Investigation based on practice and personalized care approaches in chronic care;
  • New managed models in chronic diseases or other condition with long-term care;
  • Studies investigating promotion of care;
  • Nurse-led care;
  • Intervention for the management of chronic diseases;
  • New approaches of chronic care;
  • Health Economics evaluation.

You may choose our Joint Special Issue in Medicina.

Prof. Dr. Fabio Petrelli
Guest Editor

Dr. Giovanni Cangelosi
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • chronic diseases
  • long-term care
  • nursing practice
  • public health
  • patient satisfaction
  • health economic

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  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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11 pages, 524 KiB  
Brief Report
Effects of Active Spinal Orthosis on Fatty Infiltration in Paraspinal Muscles in Kyphotic Women with Osteoporotic Vertebral Fracture—Sub-Analysis of a Randomized Controlled Trial
by Marco Hiller, Matthias Kohl, Oliver Chaudry, Klaus Engelke, Simon von Stengel and Wolfgang Kemmler
Healthcare 2025, 13(11), 1262; https://doi.org/10.3390/healthcare13111262 - 27 May 2025
Viewed by 223
Abstract
Background/Objectives: Fatty infiltration of muscle is a predictor of degeneration. The present study determined the effect of an active spinal orthosis on muscle quality as determined by fatty infiltration in paraspinal muscles in older women with vertebral fractures and kyphosis. Methods: [...] Read more.
Background/Objectives: Fatty infiltration of muscle is a predictor of degeneration. The present study determined the effect of an active spinal orthosis on muscle quality as determined by fatty infiltration in paraspinal muscles in older women with vertebral fractures and kyphosis. Methods: Twenty-one community-dwelling women ≥65 years with chronic back pain and vertebral fractures ≥3 months were randomly allocated to a group which wore the Spinomed active orthoses 2 × 2–3 h/d for 16 weeks (SOG: n = 11) or an untreated control group (CG: n = 10). Outcomes of the present study were parameters related to fatty infiltration of the musculi erector spinae and psoas major as determined by Magnetic Resonance Imaging (MRI). We applied a per protocol analysis; data were consistently adjusted for baseline values applying an ANCOVA. Results: Despite positive trends for all MRI parameters, no significant effects of the active spinal orthosis on fat infiltration of the musculus erector spinae were observed. Significant positive effects were, however, determined for musculus psoas major intra-fascial volume (p = 0.021; d’: 1.18) and muscle tissue volume (p = 0.001; d’: 1.80). No further significant effects on m. psoas major intra-fascial or muscle tissue average fat fraction or m. psoas major intramuscular adipose tissue volume were assessed. Of importance, no changes in variables that might have confounded the present result were reported. Conclusions: In line with recent exercise studies, the present high-volume, low-intensity back-strengthening intervention, induced by an active spinal orthosis, failed to generate significant effects on MRI measures of the m. erector spinae. On the other hand, significant effects on m. psoas major hypertrophy, albeit not fatty muscle infiltration, were determined. This new and unexpected finding should be confirmed by future studies. Full article
(This article belongs to the Special Issue Advances in Public Health and Healthcare Management for Chronic Care)
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