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Table of Contents<br />

3<br />

Executive Summary<br />

4 Recommendations<br />

5<br />

Introduction<br />

5 Forging an integrated strategy for chronic disease management<br />

11<br />

Discussion and Recommendations<br />

12 Self management<br />

14 Health System Design<br />

16 Decision support<br />

18 Information Systems<br />

19 Summary of Recommendations<br />

21<br />

Change Management Issues:<br />

Recommendations for Governance<br />

23<br />

Conclusion<br />

25<br />

Diabetes Pilot Project Summary:<br />

Self-management<br />

26 The context<br />

27 Our approach<br />

31 What we found<br />

34 Considerations for sustainability and integration

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