Table 5

Potential differences between type 2 diabetes and CHF with regards to uncertainty, and how they might influence CAS characteristic effectiveness

CAS characteristic

type 2 diabetes

CHF

Learning

Treatment is nuanced and complex, making efforts to improve outcomes through learning more difficult.

Less uncertainty in treatment guidelines allows more prescriptive, algorithmic approaches to management that may be more easily learned.

Interconnections

Greater degree of uncertainty in terms of symptoms and management, leading to greater reliance on interconnections to manage disease.

Lesser degree of uncertainty in terms of symptoms and management may lead interventions focused on interconnections less effective.

Self-organization

Greater uncertainty in management and symptoms of exacerbation may make efforts to self-organize more difficult.

Less uncertainty regarding management and symptoms of exacerbation may make efforts to self-organize more effective.

Co-evolution

Course and symptoms evolve over time in unique trajectory.

Course and symptoms evolve over time in unique trajectory.

Leykum et al. Implementation Science 2010 5:66   doi:10.1186/1748-5908-5-66