Epping-Jordan J E, Pruitt S D, Bengoa R, Wagner E H
Health Care for Chronic Conditions (CCH), Noncommunicable Diseases and Mental Health (NMH), World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland.
Qual Saf Health Care. 2004 Aug;13(4):299-305. doi: 10.1136/qhc.13.4.299.
Chronic conditions are increasingly the primary concern of health care systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute for Healthcare Innovation to adapt the Chronic Care Model (CCM) from a global perspective. The resultant effort is the Innovative Care for Chronic Conditions (ICCC) framework which expands community and policy aspects of improving health care for chronic conditions and includes components at the micro (patient and family), meso (health care organisation and community), and macro (policy) levels. The framework provides a flexible but comprehensive base on which to build or redesign health systems in accordance with local resources and demands.
慢性病日益成为全球医疗保健系统的首要关注点。为应对这一挑战,世界卫生组织与麦克科尔医疗保健创新研究所合作,从全球视角对慢性病护理模式(CCM)进行调整。由此产生的成果是慢性病创新护理(ICCC)框架,该框架扩展了改善慢性病医疗保健的社区和政策层面,涵盖了微观(患者和家庭)、中观(医疗保健组织和社区)以及宏观(政策)层面的组成部分。该框架提供了一个灵活但全面的基础,可据此根据当地资源和需求构建或重新设计卫生系统。