Hickman Louise D, Rolley John X, Davidson Patricia M
School of Nursing (Sydney), P.O. Box 944, Broadway, New South Wales 2007, Australia.
Collegian. 2010;17(2):63-9. doi: 10.1016/j.colegn.2010.05.004.
There is increasing evidence that hospitals are failing to meet the needs of older people. As a consequence acute care needs to be adapted to meet the needs of older people. Although initially developed for chronic conditions the Chronic Care Model (CCM) provides useful strategies for improving continuity and quality of care. METHOD/AIM: This paper describes the elements of the CCM and discusses how a chronic care approach can improve models of care delivery for older persons in the acute care hospital settings.
The CCM provides a potentially useful approach to improve health care for older people in the acute care setting. Positive policy environments, interdisciplinary care collaboration, evidence-based practice, an emphasis on self-management strategies and empowered communities are essential elements for driving development of effective models of care.
Models of care require a multifaceted collaborative approach for sustainability. Implementing elements of the CCM in developing models of acute care may improve patient outcomes and decrease unnecessary admissions to hospital for older people.
This paper provides suggestions for models of care to improve care of the older person in the acute care setting.
越来越多的证据表明，医院未能满足老年人的需求。因此，急性护理需要进行调整以满足老年人的需求。尽管慢性护理模式（CCM）最初是为慢性病开发的，但它为改善护理的连续性和质量提供了有用的策略。方法/目的：本文描述了CCM的要素，并讨论了慢性护理方法如何改善急性护理医院环境中老年人的护理模式。
CCM为改善急性护理环境中老年人的医疗保健提供了一种潜在有用的方法。积极的政策环境、跨学科护理协作、循证实践、对自我管理策略的强调以及赋权社区是推动有效护理模式发展的关键要素。
护理模式需要多方面的协作方法以实现可持续性。在开发急性护理模式时实施CCM的要素可能会改善患者预后，并减少老年人不必要的住院。
本文为改善急性护理环境中老年人护理的护理模式提供了建议。
