Nuño R.

Reviewed by Josefien van Olmen
People engaged in research on Chronic Diseases might have long wondered what even became of the WHO version of the Chronic Care Model (CCM). I did. The Innovative Care for Chronic Conditions Framework (ICCC) was published in 2002 by the WHO, which claimed to be a adaptation of the CCM for a wider international context and range of diseases. Indeed, conceptually, the model appealed to me . Although, as Nuño and colleagues point out, the ICCC framework take a larges scope than the CCM making it probably more useful to think about policies and strategies at large, than to design health care organisation – the specificity of the CCM. Nuño mentions that the WHO discontinued this line of work. Why did they? Nuño’s paper is of value for those interested in the model as such, more than in what really happens as to chronic care in countries. Their discussion the specificities of both models and the confirmation that the ICCC model has indeed hardly been put into practice – certainly not in LIC – might induce the reader to a conclusion about this framework, which I leave the reader to make herself. However, of real interest would be to investigate current practices for chronic diseases, both at policy level and health service delivery, and to see to what extent these practices have (implicitly) already taken up important elements of both models.

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