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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
慢性疾患の患者のプライマリケアを改善する:慢性ケアモデル,Part 2
Thomas Bodenheimer1, Edward H Wagner, Kevin Grumbach
1Family and Community Medicine, University of California, San Francisco, USA. Bodenheimer@Medsch.ucsf.edu
JAMA
|October 17, 2002
まとめ
慢性ケアモデルは,糖尿病ケアのような慢性疾患の管理を改善し,医療費を削減することができます. しかし,その普及は大きな障害に直面しています.
科学分野:
- 医療サービス 研究 医療サービス
- 慢性疾患管理について
背景:
- 慢性疾患は,医療システムに大きな負担を及ぼしています.
- 効果的な管理戦略は,患者の治療結果を改善し,コストをコントロールするために不可欠です.
研究 の 目的:
- 慢性疾患の管理における慢性ケアモデルの有効性に関する証拠をレビューし,糖尿病を主要な例として用いる.
- 慢性ケアモデルの医療費への影響を評価する.
主な方法:
- 慢性ケアモデルの介入を評価する研究研究の体系的レビュー.
- 慢性疾患のプロセスと結果の測定に焦点を当てた研究の分析.
- 関連する研究から得られた費用対効果データの検討.
主要な成果:
- 39件のうち32件で,慢性ケアモデル介入を使用した糖尿病患者のプロセスまたは結果の改善が示されました.
- 27件の研究のうち18件で,心不全,喘息,糖尿病などの疾患に対する医療費やサービス利用率の低下が示された.
- 慢性介護モデルは,介護の質を向上させ,支出を削減する可能性を示している.
結論:
- 慢性ケアモデルは,慢性疾患の管理を改善し,医療費を削減する可能性を秘めている.
- 証明された利点にもかかわらず,いくつかの障壁が慢性ケアモデルの広範な実施を妨げています.
- 養子縁組の課題を克服するために,さらなる研究と戦略的計画が必要です.
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