Leland Natalie E, Fogelberg Donald J, Halle Ashley D, Mroz Tracy M
Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, is Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy and Davis School of Gerontology, University of Southern California, Los Angeles;
Donald J. Fogelberg, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle.
Am J Occup Ther. 2017 Jan/Feb;71(1):7101090010p1-7101090010p6. doi: 10.5014/ajot.2017.711001.
One in four individuals living in the United States has multiple chronic conditions (MCCs), and the already high prevalence of MCCs continues to grow. This population has high rates of health care utilization yet poor outcomes, leading to elevated concerns about fragmented, low-quality care provided within the current health care system. Several national initiatives endeavor to improve care for the population with MCCs, and occupational therapy is uniquely positioned to contribute to these efforts for more efficient, effective, client-centered management of care. By integrating findings from the literature with current policy and practice, we aim to highlight the potential role for occupational therapy in managing MCCs within the evolving health care system.
在美国，四分之一的人患有多种慢性病（MCCs），而且MCCs本就很高的患病率还在持续上升。这一人群的医疗保健利用率很高，但结果却很差，这引发了人们对当前医疗保健系统中提供的碎片化、低质量护理的更多担忧。有几项全国性倡议致力于改善对患有MCCs人群的护理，而职业治疗在以更高效、有效、以客户为中心的方式管理护理方面，具有独特的贡献能力。通过将文献研究结果与当前政策和实践相结合，我们旨在突出职业治疗在不断发展的医疗保健系统中管理MCCs方面的潜在作用。
