In the increasingly complex climate of diabetes management options, confirmation (or not) of insulin deficiency should help guide treatment, education and management decisions, which will be valuable in optimizing care for any patient, but perhaps particularly for the more frail, older patient.
Although the main aim of the MULINO project and the DSS is to help with increasingly complex decisions of general water management, the concepts of sustainable river basin management introduced by the water framework directive are addressed as well.
"We need to be responsible for half the number of patients per doctor, i.e. we need double the number of GPs, now that we manage increasingly complex medical problems, carrying out much more intensive chronic disease management, in an increasingly frail and elderly population" (ID 344, 50 59, female, principal).
Larger organisations are in a stronger position to handle compliance and governance commitments, risk and financial management and increasingly complex IT systems.
Additionally, building systems are becoming increasingly complex, causing challenges for the management and operation of the facility (Kean 2011).
The run-time management of increasingly complex software-intensive systems has become a central concern in Software Engineering over the last few years [10, 11].
The trend towards more flexibility and intuitiveness in eLearning systems makes the design and development of course management system increasingly complex.
As mentioned above, medication management became increasingly complex when medication for other conditions was involved.
Chronic disease management is increasingly complex and just as complex patients need longer consultations [ 13] it appears that they also benefit from care provided by the wide range of health professionals typically seen in larger practices.
