Improving primary care for patients with chronic illness
Improving primary care for patients with chronic illness
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DOI：
10.1001/jama.288.14.1775
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发表时间：
2002-10-09
影响因子：
120.7
通讯作者：
Grumbach, K
中科院分区：
文献类型：
--
作者：
Bodenheimer, T;Wagner, EH;Grumbach, K
慢性护理模式是指导在初级保健更高质量的慢性疾病管理。该模型预测，自我管理支持、临床信息系统、交付系统重新设计、决策支持、卫生保健组织和社区资源这6个相互关联的组成部分的改进，可以产生系统改革，使知情、活跃的患者与准备充分、积极主动的实践团队互动。案例研究描述了慢性护理模式的组成部分是如何在4个卫生保健组织的初级保健实践中实施的。
The chronic care model is a guide to higher-quality chronic illness management within primary care. The model predicts that improvement in its 6 interrelated components-self-management support, clinical information systems, delivery system redesign, decision support, health care organization, and community resources-can produce system reform in which informed, activated patients interact with prepared, proactive practice teams. Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations.