慢性阻塞性肺疾病的综合管理策略。
Integrated management strategies for chronic obstructive pulmonary disease.
机构信息
Department of Medicine, Division of Pulmonary Diseases/Critical Care Medicine, The University of Texas Health Science Center, San Antonio, Texas, USA;
出版信息
J Multidiscip Healthc. 2010 Sep 20;3:181-8. doi: 10.2147/JMDH.S8173.
Chronic obstructive pulmonary disease (COPD) remains the fourth leading cause of death, is associated with significant morbidity and places a substantial time and cost burden on the health care system. Unfortunately, treatment for COPD remains underutilized and continues to focus on the acute care of complications. The chronic care model (CCM) shifts this focus from the acute management of symptoms and complications to the prevention and optimal management of the chronic disease. This model utilizes resources from the community and the health care system and emphasizes self-management, provides comprehensive clinic support, and implements evidence-based guidelines and technology into clinical practice to ensure delivery of the highest quality of care. The goal of this review is to use a case-based approach to provide practical information about how integrated care using the CCM can be applied to the clinical care of a complex patient with COPD, shifting the management goals for COPD from reactive to proactive and ultimately improving outcomes.
慢性阻塞性肺疾病（COPD）仍然是第四大死亡原因，与显著的发病率相关，并给医疗保健系统带来了大量的时间和成本负担。不幸的是，COPD 的治疗仍然未得到充分利用，并且仍然侧重于治疗并发症的急性护理。慢性疾病管理模式（CCM）将这种关注从症状和并发症的急性管理转移到慢性疾病的预防和最佳管理。该模式利用社区和医疗保健系统的资源，并强调自我管理，提供全面的诊所支持，并将循证指南和技术应用于临床实践，以确保提供最高质量的护理。本综述的目的是采用基于案例的方法，提供有关如何将 CCM 用于 COPD 复杂患者的综合护理的实用信息，将 COPD 的管理目标从被动反应转变为主动预防，最终改善结果。
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