Evidence On The Chronic Care Model In The New Millennium
Evidence On The Chronic Care Model In The New Millennium
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DOI：
10.1377/hlthaff.28.1.75
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发表时间：
2009-01-01
期刊：
影响因子：
9.7
通讯作者：
Wagner, Edward H.
中科院分区：
文献类型：
--
作者：
Coleman, Katie;Austin, Brian T.;Wagner, Edward H.
慢性病护理模式（CCM）在十多年前发展起来，是一种广泛采用的改善门诊护理的方法，指导了美国和世界各地的临床质量计划。我们通过回顾自2000年以来发表的文章来研究CCM有效性的证据，这些文章使用了CCM的五篇关键论文之一作为参考。积累的证据似乎支持CCM作为一个综合框架，以指导实践的重新设计。虽然在成本效益等领域仍有工作要做，但这些研究表明，使用CCM重新设计护理可以改善患者护理和更好的健康结果。[Health Affairs 28，no. 1（2009）：75-85; 10.1377/hlthaff.28.1.75]
Developed more than a decade ago, the Chronic Care Model (CCM)is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice redesign. Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes. [Health Affairs 28, no. 1 (2009): 75-85; 10.1377/hlthaff.28.1.75]