Finding common ground: Patient-centeredness and evidence-based chronic illness care
Finding common ground: Patient-centeredness and evidence-based chronic illness care
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DOI：
10.1089/acm.2005.11.s-7
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发表时间：
2005-01-01
影响因子：
2.6
通讯作者：
Vonkorff, M
中科院分区：
文献类型：
--
作者：
Wagner, EH;Bennett, SM;Vonkorff, M
严重慢性病患者的健康结果取决于适当使用经验证的药物和其他治疗技术，以及患者有效的自我管理。有效的慢性病护理然后基于最好的，严格的科学证据或循证医学的临床决策。对病人自我管理的有效支持包括努力增加病人对护理的参与，以及合作制定目标和规划治疗。这些干预措施似乎与最近以病人为中心的护理概念相一致。持续提供经证实的治疗和信息以及对自我管理的支持，需要为此目的组织的实践系统。慢性病护理模式是一个汇编的实践系统的变化表明，以改善慢性病护理。本文探讨了以病人为中心的概念及其与慢性病护理模式的关系。我们的结论是，该模型是以证据为基础，以病人为中心，这些可以是卫生系统的属性，而不仅仅是个人的从业者。
Health outcomes for patients with major chronic illnesses depend on the appropriate use of proven pharmaceuticals and other therapeutic technologies, and effective self-management by patients. Effective chronic illness care then bases clinical decisions on the best, rigorous scientific evidence, or evidence-based medicine. Effective support for patient self-management includes efforts to increase patient participation in care and collaborative goal-setting and planning of treatment. These interventions appear somewhat consistent with recent conceptualizations of patient-centered care. The consistent delivery of proven therapies and information and support for self-management requires practice systems organized for that purpose. The Chronic Care Model is a compilation of those practice system changes shown to improve chronic care. This paper explores the concept of patient-centeredness and its relationship to the Chronic Care Model. We conclude that the Model is both evidence-based and patient-centered and that these can be properties of health systems, and not just of individual practitioners.