* Department of Healthcare Management and Policy, University of Surrey , Guildford , UK.
Int J Audiol. 2014 Jun;53(6):377-82. doi: 10.3109/14992027.2013.860242. Epub 2013 Dec 9.
Implementation of the chronic care model (CCM) is associated with improved outcomes for patients. It follows that any proposed policy or implementation plan that maps highly onto the CCM is more likely to lead to improved outcomes. The aim of this study was to compare long-term condition (LTC) policy documents and audiology quality standard documents with the CCM and to highlight the need for further research in service implementation and clinical outcome.
We carried out a keyword-in-context content analysis of relevant documents.
Documents relating to health department policy on LTCs, audiology service improvement initiatives in England and the CCM.
This analysis shows that current audiology implementation documents in England map poorly onto the CCM compared to health policy documents relating to the management of LTCs. The biggest discrepancies occur in self-management support, delivery system design, and decision support. These elements are supported by the best evidence of potential improvements in clinical outcome.
Our content analysis of audiology service quality improvement documents in England suggests they compare poorly to some elements of the CCM. We discuss the implications this might have for future research.
实施慢性病管理模式（CCM）与改善患者预后相关。因此，任何高度契合 CCM 的政策或实施计划都更有可能带来改善的结果。本研究旨在比较长期病（LTC）政策文件和听力学质量标准文件与 CCM，并强调在服务实施和临床结果方面需要进一步研究。
我们对相关文件进行了关键词语境内容分析。
与英格兰 LTC 健康部门政策、听力学服务改进计划和 CCM 相关的文件。
与管理 LTC 的健康政策文件相比，本分析表明，英格兰目前的听力学实施文件与 CCM 的契合度较差。最大的差异出现在自我管理支持、交付系统设计和决策支持方面。这些要素得到了临床结果潜在改善的最佳证据的支持。
我们对英格兰听力学服务质量改进文件的内容分析表明，与 CCM 的某些要素相比，它们的比较结果较差。我们讨论了这对未来研究可能产生的影响。
