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A Customizable Model for Chronic Disease Coordination: Lessons Learned From the Coordinated Chronic Disease Program


Elements of the conceptual models are arranged in a wheel shape. At the center or hub is the goal: effective chronic disease prevention and health promotion programs. Four activities surround the hub: consistent communication and messaging; strategic use of staff; strong program infrastructure; and evidence-based interventions. On the outer rim are the 6 components of leadership and management: a focused agenda; identification of functions; comprehensive planning; managed resources; relationship building; and collaborative leadership and expertise.

Figure 1. Conceptual model for chronic disease coordination.

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This conceptual model from the Maine State Department of Health sets “Effective chronic disease prevention and health promotion programs” at the core of the model, and adds 3 foci: Chronic Disease Prevention and Control; Children Have a Healthy Start; and Healthy and Safe Living. At the outer rim of the circle are the names of categorical programs: Adolescent and School Health; Children With Special Health Needs; Asthma; Cancer; Diabetes, Heart Disease, and Stroke; Oral Health; Physical Activity; Tobacco; Injury Prevention; Community-Based Prevention; Nutrition; and Maternal and Child Care.

Figure 2. Conceptual model for chronic disease coordination — Maine State Department of Health, 2015.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.

Page last reviewed: March 31, 2016