Hill Linda L, Fontanesi John
Department of Family and Preventive Medicine, UCSD, 9500 Gilman Drive, MS 0811, La Jolla, CA 92037, USA.
J Med Pract Manage. 2008 Jul-Aug;24(1):53-8.
Care management delivered by interdisciplinary teams has been demonstrated to be a successful method for treating diseases such as asthma, hypertension, diabetes, and heart failure. Two models have emerged: (1) office-based programs, in which most services are delivered directly from the practice; and (2) insurer-run or purchased (external) programs delivered by third parties. Physician involvement and coordination of patient care with both programs is felt to be advantageous, yet physician involvement has been found to be sporadic. The issues surrounding physician noninvolvement have not been delineated, as the few studies conducted have tended to be descriptive, and they have not provided a model that could inform policy makers how to improve collaborative relationships. The purpose of this study was to construct such a model.
跨学科团队提供的护理管理已被证明是治疗哮喘、高血压、糖尿病和心力衰竭等疾病的成功方法。出现了两种模式：（1）基于办公室的项目，其中大多数服务直接在医疗机构提供；（2）由第三方提供的保险公司运营或购买的（外部）项目。人们认为医生参与这两种项目并协调患者护理是有益的，但发现医生的参与是零星的。由于所进行的少数研究往往是描述性的，没有提供一个可以告知政策制定者如何改善合作关系的模型，因此围绕医生不参与的问题尚未得到明确。本研究的目的是构建这样一个模型。
