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Published on: February 16, 2011
Finding common ground: patient-centeredness and evidence-based chronic illness care
Edward H Wagner1, Susan M Bennett, Brian T Austin
1MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative, Seattle, WA, USA. wagner.e@ghc.org
Effective chronic illness care relies on evidence-based medicine and patient self-management. The Chronic Care Model integrates these, proving both evidence-based and patient-centered for improved health system outcomes.
Area of Science:
- Health Services Research
- Evidence-Based Practice
- Patient-Centered Care
Background:
- Chronic illness management requires effective therapies and patient self-management.
- Evidence-based medicine (EBM) guides clinical decisions for optimal health outcomes.
- Patient-centered care emphasizes patient participation and collaborative goal-setting.
Purpose of the Study:
- To explore the concept of patient-centeredness.
- To examine the relationship between patient-centeredness and the Chronic Care Model.
- To determine if the Chronic Care Model aligns with patient-centered principles.
Main Methods:
- Literature review and conceptual analysis.
- Examination of the core components of the Chronic Care Model.
- Comparison of the Chronic Care Model's principles with patient-centered care concepts.
Main Results:
- The Chronic Care Model incorporates evidence-based practices for chronic illness management.
- The Model supports patient self-management through enhanced participation and collaborative planning.
- Patient-centeredness and evidence-based practice are compatible within the Chronic Care Model.
Conclusions:
- The Chronic Care Model is demonstrably evidence-based.
- The Chronic Care Model is also patient-centered.
- Evidence-based and patient-centered care are achievable attributes of health systems, not solely individual practitioners.
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