Timpel Patrick, Lang Caroline, Wens Johan, Contel Juan Carlos, Schwarz Peter E H
Prevention and Care of Diabetes, Department of Medicine III, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, DE.
Department of General Practice, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, DE.
Int J Integr Care. 2020 Apr 22;20(2):2. doi: 10.5334/ijic.4646.
Most current care models are disease- or symptom-focused and mostly do not account for the individual needs of patients with chronic diseases. The aim of this study was to develop an innovative, evidence-based and expert-based practice model for the management of patients with type 2 diabetes mellitus.
An iterative approach was used combining systematic literature search with qualitative methods, including a standardised survey of experts in chronic care (n = 92), an expert workshop of professionals (n = 22) and a multilingual online survey (n = 659). Using three consensus meetings involving researchers, policy makers and experts in chronic care, a limited number of core components and care recommendations was set up to develop a new chronic care model.
The developed 'MANAGE CARE MODEL' includes aspects of the health and social care system, resources derived from the living environment, aspects of health promotion and prevention, as well as an expanded understanding of improved outcomes as an integral part of chronic care.
The MANAGE CARE MODEL provides guidance for the development and implementation of chronic care programs, regional networks and national strategies. Future research is needed to validate the model as an instrument of regional chronic care management.
当前大多数护理模式以疾病或症状为重点，大多未考虑慢性病患者的个体需求。本研究的目的是为2型糖尿病患者的管理开发一种创新的、基于证据和专家的实践模式。
采用迭代方法，将系统文献检索与定性方法相结合，包括对慢性病护理专家的标准化调查（n = 92）、专业人员专家研讨会（n = 22）和多语言在线调查（n = 659）。通过三次由研究人员、政策制定者和慢性病护理专家参加的共识会议，确定了数量有限的核心组成部分和护理建议，以开发一种新的慢性病护理模式。
所开发的“管理护理模式”包括健康和社会护理系统的各个方面、来自生活环境的资源、健康促进和预防的各个方面，以及对改善结果作为慢性病护理组成部分的扩展理解。
管理护理模式为慢性病护理项目、区域网络和国家战略的开发与实施提供了指导。需要进一步的研究来验证该模式作为区域慢性病护理管理工具的有效性。
