@article{Dimcheva_Mateva_Assenova_Foreva_Yaneva_Peychev_2018, title={CHRONIC DISEASE – ASPECTS AFFECTING THE ORGANIZATION OF MEDICAL CARE}, volume={22}, url={https://ikm.mk/ojs/index.php/kij/article/view/3680}, abstractNote={<p>Background: The Chronic Care Model (CCM) is widely accepted as the universal operational framework for health systems to address the increasing chronic disease burden. According CCM chronic diseases are defined very broadly to include any conditions that request ongoing activities and response from patient, personal caregivers, as well as response from medical care system. Starting point of chronic disease management in our country is an Order of Ministry of Health with a list of diseases according International Classification of Diseases, revision X (ICDX) and patients with any of these diseases should be under dispanserization. This article discusses which aspects of chronic diseases, affecting the organization of medical care, are not taken into consideration in the current rules for chronically ill patients. Method: A qualitative approach was taken using focus groups as the data collection method. Results: The participants identified the need to be considered more clear, extended and comprehensive criteria to include chronic conditions for dispanserization. These criteria should be flexible, and take into account the unpredictability of the course of the disease and its individual severity, patient`s social situation, multimorbidity, goals of therapeutic approaches, including health promotion.<br>Conclusion: The results present current situation and add new ideas how different aspects of chronic disease affect the organization of medical care. They should be evaluated as a sensitive indicator of the need to reconsider the whole process of inclusion and care for patients with chronic conditions.</p>}, number={5}, journal={KNOWLEDGE - International Journal }, author={Dimcheva, Teodora and Mateva, Nonka and Assenova, Radost and Foreva, Gergana and Yaneva, Antonia and Peychev, Zhivko}, year={2018}, month={Mar.}, pages={1159–1163} }