What Works In Chronic Care Management: The Case Of Heart Failure
What Works In Chronic Care Management: The Case Of Heart Failure
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DOI：
10.1377/hlthaff.28.1.179
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发表时间：
2009-01-01
期刊：
影响因子：
9.7
通讯作者：
Stewart, Simon
中科院分区：
文献类型：
--
作者：
Sochalski, Julie;Jaarsma, Tiny;Stewart, Simon
慢性病护理管理项目的有效证据基础尚不完善。为了填补这一空白，我们汇集并重新分析了十项心力衰竭护理管理项目随机临床试验的数据，以了解项目实施方法如何对患者预后做出贡献。我们发现，参加使用多学科团队的项目和使用面对面交流的项目的患者的再入院率和再入院天数明显少于常规护理患者。我们的研究为政策制定者和健康计划管理者提供了重要的指导方针，帮助他们建立证据基础，为慢性病护理管理制定有效的政策和计划举措。 [卫生事务 28，没有。 1（2009）：179-189； 10.1377/hlthaff.28.1.179]
The evidence base of what works in chronic care management programs is underdeveloped. To fill the gap, we pooled and reanalyzed data from ten randomized clinical trials of heart failure care management programs to discern how program delivery methods contribute to patient outcomes. We found that patients enrolled in programs using multidisciplinary teams and in programs using in-person communication had significantly fewer hospital readmissions and readmission days than routine care patients had. Our study offers policymakers and health plan administrators important guideposts for developing an evidence base on which to build effective policy and programmatic initiatives for chronic care management. [Health Affairs 28, no. 1 (2009): 179-189; 10.1377/hlthaff.28.1.179]