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EVIDENCE BASED CHRONIC ILLNESS CARE - PAHO/WHO

EVIDENCE BASED CHRONIC ILLNESS CARE - PAHO/WHO

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MAKING HEALTH SYSTEMS MORE EFFICIENT<br />

SUMMER COURSE: <strong>EVIDENCE</strong> <strong>BASED</strong> <strong>CHRONIC</strong> <strong>ILLNESS</strong> <strong>CARE</strong><br />

Name and Surname: ____________________________________________________________________<br />

Title: ___________________________ Institution: ____________________________________________<br />

Home Address: _________________________________________________________________________<br />

Country : ________________________ E-mail:_ _______________________________________________<br />

Phones: Work____________________ Home________________ Cellular__________________________<br />

Scholarship required:<br />

Yes_ ____________ No_____________<br />

Please answer briefly the following questions:<br />

What are the most important challenges that you face in your area of work?<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

How is this course relevant to your current job?<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

If you were to conduct an operational research to improve quality of care for chronic diseases, what<br />

would be the main objective of your research project?<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

What do you expect to gain from this course?<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

Please attach your Curriculum together with your application AND<br />

SEND TO cronicare@paho.org

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