Integrated Disease Managment


Learning outcomes of the curricular unit

This course aims to achieve the following objectives:

a) Training the development and implementation of an integrated management disease model, at different levels of decision and health care delivery;

b) Disseminate the national and international best practice of chronic disease management;

c) Promote the creation, dissemination and implementation of management strategies for prevention and control of chronic disease;

d) Learning and combining different sources of information for health planning and analysis. 

General characterization





Responsible teacher

Ana Maria Escoval


Weekly - Available soon

Total - 36

Teaching language



Requirements for frequency

Iniversity Degree



·         BUSSE, Reinhard; BLÜMEL, Miriam; SCHELLER-KREINSEN, David; et al. Tackling chronic disease in Europe: Strategies, interventions and challenges. Copenhagen: WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, 2010.

·         Direção-Geral da Saúde, Institute for Health Metrics and Evaluation. Portugal: The Nation’s Health 1990–2016: An overview of the Global Burden of Disease Study 2016 Results. Seattle, WA: IHME, 2018.

·         NOLTE, Ellen; KNAI, Cécile. Assessing chronic disease management in European health systems: country reports. Copenhagen: WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, 2015.

·         ESCOVAL, Ana; COELHO, Anabela; DINIZ, José Alexandre; et al. Gestão integrada da doença: uma abordagem experimental de gestão em saúde. Revista Portuguesa de Saúde Pública. 9 (2010) 105-116.

·         GUERRA, João; NICOLAU, Vanessa; ESCOVAL, Ana. Gestão da Doença: o caso das doenças reumáticas. In Doenças reumáticas em Portugal: da investigação às políticas de saúde. Porto: Observatório Nacional das Doenças Reumáticas, 2014.

·         PORTUGAL. Direção-Geral da Saúde. A Saúde dos Portugueses: Perspetiva 2016. Lisboa: Direção-Geral da Saúde, 2016.

. WHO. WHO global strategy on people-centred and integrated health services: Interim Report. Switzerland: World Health Organization , 2015.

Teaching method

Teaching methodologies (including evaluation)

·         Theoretical sessions;

·         Seminars (critical analysis and discussion of case studies);

·         Group work: presentation and discussion.


a) Individual work (40%).

b)     Development of an essay up to 5 pages after research, analysis, interpretation and discussion of selected literature - group work (40%).

c) Attendance and class participation under continuous assessment (20%).

Evaluation method

Available soon

Subject matter


1.     The chronic disease epidemiology: new challenges for the disease management;

2.     National health strategy and disease management programs: designing and implementing;

3.     Delivery system design and models of practice;

4.     New challenges for a competent health workforce;

5.     Information systems and technology to support chronic disease management;

6.     Contracting, financing systems and payments mechanism in chronic disease management;

7.     Evaluation for chronic disease management: models and quality of care;

8.     Self-management in chronic disease;

9.     Case studies presentations;

10. Evaluation - practice cases: analysis and discussion.