Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life
Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life
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DOI：
10.1177/003335491112600403
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发表时间：
2011-07-01
影响因子：
3.3
通讯作者：
Koh, Howard K.
中科院分区：
文献类型：
--
作者：
Parekh, Anand K.;Goodman, Richard A.;Koh, Howard K.
美国人中多种慢性病（MCC）问题日益严重，这现已成为一项重大的公共卫生和医疗挑战，它与不良的健康状况以及不断增长的医疗费用相关联。尽管这一问题日益加剧，但医疗服务的提供仍然继续采用过时的“孤立”方法，这些方法侧重于单个的慢性病。我们描述了一个由美国卫生与公众服务部制定的以行动为导向的框架，利益相关者组织也提供了额外的意见，该框架概述了为患有多种慢性病的个体实现护理协调最大化以及改善其健康和生活质量的国家战略。我们指出如何通过新的《患者保护与平价医疗法案》的一些条款以及公私合作伙伴关系来优化该框架的潜力。
The escalating problem of multiple chronic conditions (MCC) among Americans is now a major public health and medical challenge, associated with suboptimal health outcomes and rising health-care expenses. Despite this problem's growth, the delivery of health services has continued to employ outmoded "siloed" approaches that focus on individual chronic diseases. We describe an action-oriented framework developed by the U.S. Department of Health and Human Services with additional input provided by stakeholder organizations-that outlines national strategies for maximizing care coordination and for improving health and quality of life for individuals with MCC. We note how the framework's potential can be optimized through some of the provisions of the new Patient Protection and Affordable Care Act, and through public-private partnerships.