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Healthcare
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Innovative Approaches to Chronic Disease Patient Care
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Innovative Approaches to Chronic Disease Patient Care

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

Deadline for manuscript submissions: 30 September 2025 | Viewed by 721

Special Issue Editors

Dr. Manuel Pabón-Carrasco

E-Mail Website
Guest Editor
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: pain; nursing process; outcomes in health; complexity of care; meta-analysis; nursing healthcare; helycobacter pylori
Special Issues, Collections and Topics in MDPI journals
Dr. Rocío Cáceres-Matos

E-Mail Website
Guest Editor Assistant
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: chronic pain; chronicity; pain management; nursing; gender and health; psychometry validation

Special Issue Information

Dear Colleagues,

In the context of chronic disease management, innovative approaches are playing a crucial role in improving patient care and optimizing outcomes across various areas of health sciences. These approaches aim not only to address the immediate physical needs of patients but also to integrate emotional, psychological, and social aspects, promoting a holistic and patient-centered model of care. Advances in personalized care and the integration of technologies are transforming how health professionals approach chronic disease management, offering new opportunities to enhance patients' quality of life.

In the literature, a wide range of innovative approaches are being applied across different health contexts. This diversity is a necessary response to the complex and varied needs of chronic disease patients; however, it also poses challenges for professionals in selecting the most appropriate interventions. The lack of standardized approaches and inconsistent evidence across studies limits the generalization of effective practices and hinders the large-scale implementation of care models.

This highlights the need to refine and adapt these approaches to make them more suitable for various clinical and cultural contexts. Ongoing research into innovative strategies will not only benefit patients but also health professionals and researchers. Developing universally accepted frameworks and guidelines would facilitate comparative studies and promote the widespread adoption of evidence-based practices across all areas of health sciences.

We are pleased to invite you to submit articles on innovative approaches to chronic disease patient care. In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following topics:

  • Systematic reviews and meta-analyses of innovative care models for chronic diseases.
  • Validation studies of new care approaches.
  • Research on the integration of technology in chronic disease management.
  • Comparative studies of different care models and their effectiveness.
  • Cross-sectional studies on the adaptation of innovative care approaches in various cultural or healthcare contexts.

We look forward to receiving your valuable contributions.

Dr. Manuel Pabón-Carrasco
Guest Editor

Dr. Rocío Cáceres-Matos
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

  • chronicity
  • innovative strategies
  • innovative care models
  • multidisciplinarity

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

16 pages, 237 KiB  
Article
Impact on Health, Resources, and Satisfaction: A Qualitative Study of Primary Health Care Case-Management Nurses
by María José Molina-Gil, María Dolores Guerra-Martín and Rocío De Diego-Cordero
Healthcare 2025, 13(9), 974; https://doi.org/10.3390/healthcare13090974 (registering DOI) - 23 Apr 2025
Viewed by 133
Abstract
The aging population and the increasing prevalence of chronic diseases necessitate new healthcare models. Case-Management Nurses (CMNs) emerge as a promising alternative to enhance patient care. Objective: To explore CMNs’ perceptions of the impact on health, resources, and professional satisfaction. Methods: A qualitative [...] Read more.
The aging population and the increasing prevalence of chronic diseases necessitate new healthcare models. Case-Management Nurses (CMNs) emerge as a promising alternative to enhance patient care. Objective: To explore CMNs’ perceptions of the impact on health, resources, and professional satisfaction. Methods: A qualitative study using semi-structured interviews was conducted with CMNs from a southern Spanish province. This study adheres to the Standards for Reporting Qualitative Research (SRQR). The population consisted of 61 CMNs. Three analytical categories of a theoretical or deductive nature were identified, directly related to this study’s objective. This study was approved by the Andalusian Biomedical Research Ethics Committee (Code: 1139-N-22) and conducted in accordance with the Declaration of Helsinki. Data analysis was performed using ATLAS.ti. Results: The sample was comprised of 31 CMNs (24 women). The mean age was 56.3 years. A total of 12 CMNs had more than 20 years of experience. Interviews were conducted between October and November 2022. Within each category, different emerging subcategories were identified: 1. Impact on health: Patients and caregivers. 2. Impact on resources: Computer tools, effectiveness/efficiency of the CMNs, and material resources. 3. Impact on professional satisfaction: Positive professional satisfaction and negative professional satisfaction. Conclusions: The findings suggest that the practice of CMNs in primary care improves the health and quality of life of patients and their caregivers while reducing healthcare resource utilization. CMNs reported high levels of job satisfaction. These findings support the implementation of this care model to optimize the management of chronic patients in home and residential care settings. However, larger-scale quantitative studies are needed to confirm these results and explore their generalizability. Full article
(This article belongs to the Special Issue Innovative Approaches to Chronic Disease Patient Care)
12 pages, 557 KiB  
Article
Effectiveness of an Early Intervention in Mild Hyponatremia to Prevent Accidental Falls in Hospitalized Older Adults—A Crossover Ecological Clinical Trial
by Carmen Lobo-Rodríguez, Azucena Pedraz-Marcos, Juan Francisco Velarde-García, Elena Calderari Fernández, Carmen Gadea-Cedenilla, Margarita Medina-Torres, Mª Nieves Moro-Tejedor, Leonor Sánchez García and Ana Mª García-Pozo
Healthcare 2025, 13(8), 865; https://doi.org/10.3390/healthcare13080865 - 10 Apr 2025
Viewed by 303
Abstract
Background: Falls in hospitalized patients cause injuries of varying severity and even death. There is a link between falls and low blood sodium levels in older patients. Identifying and treating hyponatremia could help prevent falls and reduce hospital stays. The purpose of [...] Read more.
Background: Falls in hospitalized patients cause injuries of varying severity and even death. There is a link between falls and low blood sodium levels in older patients. Identifying and treating hyponatremia could help prevent falls and reduce hospital stays. The purpose of this study was to evaluate the effectiveness of the correction of hyponatremia on reducing the incidence of falls and the mean stay of hospitalized patients aged more than 65 years. Methods: A crossover ecological clinical trial was conducted in adult hospitalization units of a hospital in Madrid (Spain) over 12 months. Patients meeting inclusion criteria were divided into two randomized groups. The intervention was applied in two six-month phases, alternating between groups with a 15-day washout period. Early diagnosis and treatment of hyponatremia were implemented in the intervention group, while the control group received standard care. Primary outcomes included fall incidence and length of hospital stay. Data were collected using REDCap and analyzed with SPSS v.21. Statistical significance was set at p < 0.05 (ClinicalTrials identifier of the manuscript: NCT03265691). Results: A total of 1925 patients were included (408 intervention, 1517 control). Fall incidence was significantly lower in the intervention group (6.7 vs. 9.8, p = 0.000). Hyponatremia was corrected in 72% of cases. No significant differences were found in functional scores. The intervention effectively reduced falls compared to standard care. Conclusions: Early hyponatremia treatment reduces falls and hospital stay in older patients, supporting its inclusion in fall prevention strategies. Full article
(This article belongs to the Special Issue Innovative Approaches to Chronic Disease Patient Care)
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