改善慢性疾病患者的初级保健
Thomas Bodenheimer1, Edward H Wagner, Kevin Grumbach
1Family and Community Medicine, University of California, San Francisco, USA. tbodie@earthlink.net
JAMA
|October 9, 2002
概括
慢性护理模型改善了初级保健中的慢性疾病管理. 实施其六个组成部分使患者有能力,并为更好的健康结果准备护理团队.
科学领域:
- 医疗保健管理的管理
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
背景情况:
- 慢性疾病需要持续的管理.
- 目前的初级保健模式在提供一致,高质量的慢性护理方面面临挑战.
- 慢性护理模型为改善慢性疾病护理提供了一个框架.
研究的目的:
- 介绍和解释慢性护理模型.
- 描述慢性护理模型在初级保健机构中的部件的实施.
- 为了说明该模型如何导致系统改革以更好地管理慢性疾病.
主要方法:
- 该研究概述了慢性护理模型的六个核心组成部分.
- 介绍了四个医疗保健组织的案例研究.
- 在案例研究中描述了每个组件的实施策略.
主要成果:
- 慢性护理模型的组成部分是相互关联的,旨在提高护理质量.
- 实施模型组件可以导致系统改革.
- 告知患者与主动护理团队互动是一个预测的结果.
结论:
- 慢性护理模型提供了一种结构化的方法来增强慢性疾病管理.
- 成功实施需要注意全面系统变革的所有六个组成部分.
- 该模型促进了转向以患者为中心,积极主动的慢性疾病初级保健的转变.
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