Journal article
A Cyclical Approach to Continuum Modeling: A Conceptual Model of Diabetic Foot Care
Frontiers in public health, Vol.5, pp.337-337
12/08/2017
DOI: 10.3389/fpubh.2017.00337
PMCID: PMC5727019
PMID: 29276706
Abstract
"Cascade" or "continuum" models have been developed for a number of diseases and conditions. These models define the desired, successive steps in care for that disease or condition and depict the proportion of the population that has completed each step. These models may be used to compare care across subgroups or populations and to identify and evaluate interventions intended to improve outcomes on the population level. Previous cascade or continuum models have been limited by several factors. These models are best suited to processes with stepwise outcomes-such as screening, diagnosis, and treatment-with a single defined outcome (e.g., treatment or cure) for each member of the population. However, continuum modeling is not well developed for complex processes with non-sequential or recurring steps or those without singular outcomes. As shown here using the example of diabetic foot care, the concept of continuum modeling may be re-envisioned with a cyclical approach. Cyclical continuum modeling may permit incorporation of non-sequential and recurring steps into a single continuum, while recognizing the presence of multiple desirable outcomes within the population. Cyclical models may simultaneously represent the distribution of clinical severity and clinical resource use across a population, thereby extending the benefits of traditional continuum models to complex processes for which population-based monitoring is desired. The models may also support communication with other stakeholders in the process of care, including health care providers and patients.
Details
- Title: Subtitle
- A Cyclical Approach to Continuum Modeling: A Conceptual Model of Diabetic Foot Care
- Creators
- Martha L. Carvour - University of New MexicoAllyssa Chiu - University of New Mexico
- Resource Type
- Journal article
- Publication Details
- Frontiers in public health, Vol.5, pp.337-337
- DOI
- 10.3389/fpubh.2017.00337
- PMID
- 29276706
- PMCID
- PMC5727019
- NLM abbreviation
- Front Public Health
- ISSN
- 2296-2565
- eISSN
- 2296-2565
- Publisher
- Frontiers Media Sa
- Number of pages
- 7
- Language
- English
- Date published
- 12/08/2017
- Academic Unit
- Infectious Diseases; Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9984360057302771
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