Chronic Health Monitoring Report: Health and Wellbeing Analysis

This report provides a detailed analysis of chronic health monitoring, focusing on various healthcare models and their application. It explores the impact of chronic diseases on global health, particularly within the Australian context, highlighting prevalent issues such as cardiovascular diseases, diabetes, and mental health disorders. The report examines the World Health Organization's model of chronic care and other prominent models like the Chronic Care Model, discussing their effectiveness in managing chronic conditions and improving patient outcomes. It further investigates Australia's chronic health priorities, including the implementation of self-management programs and the significance of addressing mental health concerns. The continuum of chronic disease is discussed, emphasizing the importance of prevention strategies and addressing social determinants of health. The report concludes by assessing the impact of chronic diseases on overall wellbeing and advocating for comprehensive approaches to improve health outcomes.

Running head: CHRONIC HEALTH MONITORING
CHRONIC HEALTH MONITORING
Name of the Student
Name of the University
Author Note

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Introduction
Chronic disease are the diseases that affect the life style of a person for a long period of
time and even persist for life time. These diseases are included with different well known disease
such as diabetes, cardiovascular diseases and also the mental disorders as well. These diseases
can hamper the lifestyle of a person by making the person disabled or developing certain activity
limitations. It has been seen that the people are mostly affected with the thought of they are not
ill as there are possibilities of nit having any symptom for a certain amount of time even after
being affected by the disease. According to the World Health Organisation data it has been seen
that the 46 per cent of total disease burden of the world is comprising of chronic diseases and a
60 per cent of total deaths are from chronic disease in the year 2001 (Who.int, 2020). Thus, the
In case of Australia it has been reported that the 11.5 per cent of people have two chronic issues,
8.7 per cent have three chronic issues and 20.1 per cent of people experience mental health issues
as of 2017 and 2018 data (Abs.gov.au, 2020). Self management is a care model which is
presently implemented by the Australian government for the chronic care process
(Napwha.org.au, 2020). However, this model is time consuming and the lack of health literacy of
the people of the country are the challenges faced by the care professionals to reduce the rate of
the chronic diseases. Hence, in the following section the World Health Organisation developed
model of Chronic care will be discussed along the chronic care models used in details.
Health Care Models
There are different health care models found in different studies and these are used for
the chronic disease care and to reduce the care cost or improvement of care quality taking into
consideration. Hence, it can be stated that the process of the care should eb cost friendly and also

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improve the health condition of people. Thus, reduction of the disease burden different processes
has been followed in different countries. However, the World Health Organisation has been
involved in the health care system of almost all the countries and the organisation found that the
lack of health care access in the lower income and middle income countries is the most
predominant factor for increasing the number of chronic illness. Hence, the World Health
Organisation developed a model of care focusing on the cost reduction and also the health care
access development for the people with lower affinity to education or the income level is lower
than average. This, model is termed as the Comprehensive community- and home-based health
care model and this model is focused on the home based care delivery to the people with chronic
illness and also from the lower income category (Apps.searo.who.int, 2020). Hence, this model
is focusing on delivering care to the people who cannot be able to access the health care due to
lack of financial support or knowledge regarding health or the cultural beliefs. Hence, the care
model is solely focused on the improvement of the health situation of people with chronic illness
and also developing the continuum of care facility development.
On the other hand, it can be found that the process of the health care is delivered with the
consideration of Chronic Care Model, Innovative Care for Chronic Conditions model, Improving
Chronic Illness Care, Stanford Model, Community based Transition Model (Grover & Joshi,
2015). These earlier mentioned models are the most predominantly used care models found in
the global context. However, it has been seen that there are more models present for health care
delivery. However, the most used model of care is the Chronic Care Model. This model is an
organisation based model of care which focuses on the informed and also evidence based care
delivery process. The active collaboration of the patient and also the health care professionals is
the primary focus of the model of care and it also provide the support to the patient and also

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practical for the health care process of the patient. It also effectively helps the patient to develop
the self efficacy for the reduction or manage the health issue of patient. Thus, the Chronic Care
Model can be highlighted as a whole and effective care delivery model. This model focuses on
the patient and deliver the patient centred care effectively (Bruno et al., 2019).
Australia Chronic Health Priorities
It has been seen that the Australian population health is affected with different chronic
diseases. The diseases include the cardiovascular diseases, cancer, chronic obstructive
pulmonary disease condition, diabetes and also the mental health issues. It has been seen that the
diabetes and the mental health issues are the most common among the Australian population.
However, the cardiovascular diseases are also affective as well in a higher rate. It can be seen
that the health promotion and the self management model of care has been implemented in the
country for the development of the self management of the health by the patients (Fradgley et al.,
2016). However, the factor of the depression, anxiety, behavioural disorders, dementia and
schizophrenia among the people of the country are also found in a large number. Hence, the
factor of the chronic health management for the people of the country has been focused on the
mental health improvement as it has the large amount effect on the people of the country. Thus,
the process of the care delivery is focused on the effective self efficacy development of the
people to manage the health condition accordingly. However, the process of the care delivery to
the patients are also focused on the patient centred care and also the evidence based care delivery
process (Lopez-Vargas et al., 2019). Thus, it can be stated that the process of the health care in
the country is focused on the decrease in the disease burden as well as the reduction of the health
care cost as well. Hence, the reduction of the mental health issues should be considered with
higher priority as this factor has been found to be most prominent for the people of country. The

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statistical data showed that the mental health disorders are found among 20 per cent of the people
of the country.
Continuum of Chronic Disease
The continuum of chronic disease is the terminology effectively used for the disease
prevention process. It can be stated that the process of the disease development and the disease
prevention can be found with different dependencies. These dependencies can be social or
psychological for different people. Thus, it can also be found that the process of the disease
prevention through the continuum of chronic disease process should focus on the health issues
and the health behaviours of people. Based on this context, it can be found that the continuum of
chronic disease prevention should assess different population groups including the people coping
with chronic disease, people without disease and the people with the risk of the disease
development (Extranet.who.int, 2020). Thus, it can also be stated that the disease development
can be prevented at the onset of the disease for people. If the prevention measures are focused on
the proper social, psychological and cultural aspects then the prevention can be possible. On the
other hand, addressing the social determinants and development of awareness among the people
can be marked as one of the most positive approach for the prevention or the reduction of the
health risk. In case, of Australia the focus on the awareness and the education development of the
people of the country prevent the diseases. It has been seen that the factor of the disease
prevention and the continuum of chronic disease aspect is focused on the proper delivery of care
support to the people of the country. Mostly, the focus on the self management skill development
of people and subsequently development of the self efficacy of the people of the country. The
factor of the chronic disease burden is higher among the Indigenous people of Australia and the
health is affected by the lack of health literacy and the cultural belief of these people. It has been

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seen that the lack of health access and the discrimination towards these people also affected the
health outcome. Moreover, the factor of the economic imbalance is also affecting the health of
the people. Thus, the self management development among these people effectively improve the
health outcome of the people. Thus, the Australian continuum of chronic disease prevention
framework is focused on the improvement of the self health knowledge and also self
management development to reduce the risks of the chronic diseases (Zhou et al., 2016).
Life Variables Affecting Wellbeing
There are different factors present in terms of the health development or affecting the
health for each and every person. The factors can be marked as the life variables or the social
determinants of health. The health and wellbeing of people have been seen to be affected with
the psychological thought process and the environmental factors of the person mostly. The factor
of the education, genetical factors, environmental resources, social relationship and also income
level of the person (Who.int, 2020). These factors can be marked as the life variables that mostly
affect the health of an individual and also a community wholly. Thus, it can be stated that the
process of the ‘improvement of disruption of the health and wellbeing of the individual and
community is related. The factor of the health care access can also be marked as the social
determinant of health; however, this factor cannot be marked as the life factor. On the other
hand, it has been seen that the process of the health care access is not directly related to the
chronic disease development of other negative impact on the wellbeing of a person (Webster,
2017). Thus, the factor of the life variables are the most important aspects which should be
considered with priority for the health and wellbeing maintenance of the people of the country.

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Impact of Chronic Disease
Chronic illness can be marked as the most impacting factors in the health and wellbeing
of the global context. It has been seen that the Australian country is also affected with the factors
drastically. The aspect of the chronic illness affected the health of the country in a way that 90
per cent of total deaths of Australia in the year 2011 took place due to chronic illnesses
(Aihw.gov.au, 2020). The data also showed that the most impacting diseases in the country are
cardiovascular diseases, cancers, chronic obstructive pulmonary disease (Aihw.gov.au, 2020).
Hence, it can be stated that the process of the health and wellbeing maintenance of the country
population is dependent on the effective management of the account of these diseases. The
aspect of the health and wellbeing of the country is found to be affected with these major
diseases. Thus, the impact of the diseases has been seen in a large amount as the 11.5 per cent of
people have two chronic issues, 8.7 per cent have three chronic issues and 20.1 per cent of
people experience mental health issues as of 2017 and 2018 data (Abs.gov.au, 2020). Hence, the
impact of the chronic diseases in Australia is prominent. The present situation highlighted that
the mental illness among the people is increasing with time. Hence, the government of the
country should effectively improve the situation.
Conclusion
Based on the above discussion it can be concluded that the chronic illnesses are the major
factors that affect the health and wellbeing of people of the globe and Australia as well. Hence,
the management of the chronic illness should be considered with higher priority. Thus, the health
care models developed by World Health Organisation and also the country based models should
be implemented with higher priority to the people affected with the disease and with the risk of
developing any disease. Hence, the analysis of the impact of the chronic diseases and also the

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negative causes of developing chronic disease should also be considered for the improvement of
the scenario regarding the chronic illness account.

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References
Abs.gov.au. (2020). 4364.0.55.001 - National Health Survey: First Results, 2017-18. Retrieved
29 March 2020, from
https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.001~2017-
18~Main%20Features~Chronic%20conditions~25
Aihw.gov.au. (2020). Chronic disease—Australia’sbiggest health challenge. Retrieved 29 March
2020, from https://www.aihw.gov.au/getmedia/8f7bd3d6-9e69-40c1-b7a8-
40dca09a13bf/4_2-chronic-disease.pdf.aspx
Apps.searo.who.int. (2020). Comprehensive Community- and Home-based Health Care Model.
Retrieved 29 March 2020, from https://apps.searo.who.int/PDS_DOCS/B0021.pdf
Bruno, B. A., Choi, D., Thorpe, K. E., & Catherine, H. Y. (2019). Relationship Among Diabetes
Distress, Decisional Conflict, Quality of Life, and Patient Perception of Chronic Illness
Care in a Cohort of Patients With Type 2 Diabetes and Other Comorbidities. Diabetes
care, 42(7), 1170-1177.
Extranet.who.int. (2020). National Chronic Disease Strategy. Retrieved 29 March 2020, from
https://extranet.who.int/ncdccs/Data/AUS_B3_Att%20A%20-%20National%20Chronic
%20Disease%20Strategy%202005%20(D15-706588).PDF
Fradgley, E. A., Paul, C. L., Bryant, J., & Oldmeadow, C. (2016). Getting right to the point:
identifying Australian outpatients’ priorities and preferences for patient-centred quality
improvement in chronic disease care. International Journal for Quality in Health Care,
28(4), 470-477.

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Grover, A., & Joshi, A. (2015). An overview of chronic disease models: a systematic literature
review. Global journal of health science, 7(2), 210.
Lopez-Vargas, P., Tong, A., Crowe, S., Alexander, S. I., Caldwell, P. H. Y., Campbell, D. E., ...
& Haddad, S. (2019). Research priorities for childhood chronic conditions: a workshop
report. Archives of disease in childhood, 104(3), 237-245.
Napwha.org.au. (2020). Models of care for chronic disease. Retrieved 29 March 2020, from
https://napwha.org.au/files/MACSD%20background%20paper%20-%20Chronic
%20disease.pdf
Webster, T. (2017). Australian educators’ believe they are not equipped to accommodate the
specific school needs of students with chronic illness. Comparing school-based needs
and receipt of school support among children and adolescents with and without serious
chronic illness: A multi-perspective study with students, parents, and teachers, 201.
Who.int. (2020). WHO | 2. Background. Retrieved 29 March 2020, from
https://www.who.int/nutrition/topics/2_background/en/
Who.int. (2020). WHO | The determinants of health. Retrieved 29 March 2020, from
https://www.who.int/hia/evidence/doh/en/
Zhou, K., Fitzpatrick, T., Walsh, N., Kim, J. Y., Chou, R., Lackey, M., ... & Tucker, J. D. (2016).
Interventions to optimise the care continuum for chronic viral hepatitis: a systematic
review and meta-analyses. The Lancet infectious diseases, 16(12), 1409-1422.