The Challenge of Chronic Diseases -- Some Alternative Schemes for the Management of Chronic Diseases -- Difficulties in Implementing Effective Management -- Redefining Conditions for the Effective Management of Chronic Diseases -- Activities Specific to an Effective Management of Chronic Diseases -- Dynamic Processes for the Provision of Efficient Care -- Lump Sum Funding, Efficiency and Development -- An Illustration -- From Processes to Organizational Structures -- Contractual Relationship Configurations -- Implementation Strategy -- IS in Health System Restructuring.