Bodenheimer Thomas
Department of Family and Community Medicine, University of California at San Francisco, Building 80-83, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA.
Dis Manag. 2003 Summer;6(2):63-71. doi: 10.1089/109350703321908441.
Three overlapping initiatives can be found in the effort to improve the management of chronic illness: the report card initiative, the disease management industry, and "Improving Chronic Illness Care." The third of these initiatives proposes the Chronic Care Model to assist provider organizations in chronic care improvement. The Chronic Care Model is made up of six major elements: community resources, the health care system surrounding the provider organization, patient self-management, decision support, delivery system redesign, and clinical information systems. Within these elements are a number of components, for example, clinical practice guidelines, reminder prompts, disease registries, provider feedback systems, primary care teams, planned chronic care visits, and case management. A literature review is provided to summarize the effectiveness of these Chronic Care Model components.
成绩单举措、疾病管理行业以及“改善慢性病护理”。这些举措中的第三项提出了慢性病护理模型，以协助医疗机构改善慢性病护理。慢性病护理模型由六个主要要素组成：社区资源、医疗机构周围的医疗保健系统、患者自我管理、决策支持、交付系统重新设计以及临床信息系统。在这些要素中包含许多组成部分，例如临床实践指南、提醒提示、疾病登记、医疗机构反馈系统、初级保健团队、计划好的慢性病护理就诊以及病例管理。本文提供了一篇文献综述，以总结这些慢性病护理模型组成部分的有效性。
