Al-Qahtani Arwa Ahmed
Department of Family Medicine, College of Medicine Al-Imam Mohammed Ibn Saud Islamic University Riyadh Saudi Arabia.
J Gen Fam Med. 2024 May 20;25(4):171-178. doi: 10.1002/jgf2.659. eCollection 2024 Jul.
Designed and implemented over two decades ago, the Chronic Care Model is a well-established chronic disease management framework that has steered several healthcare systems in successfully improving the clinical outcomes of patients with type 2 diabetes mellitus. Research evidence cements the role of the Chronic Care Model (with its six key elements of organization of healthcare delivery system, self-management support, decision support, delivery system design, clinical information systems, and community resources and policies) as an integrated framework to revamp the type 2 diabetes mellitus-related clinical practice and care that betters the patient care and clinical outcomes. The current review is an evidence-lit summary of importance of use of Chronic Care Model in primary care and their impact on clinical outcomes for patients afflicted with one of the most debilitating metabolic diseases, type 2 diabetes mellitus.
慢性护理模式在二十多年前设计并实施，是一个成熟的慢性病管理框架，已引导多个医疗系统成功改善了2型糖尿病患者的临床结局。研究证据巩固了慢性护理模式（及其医疗服务提供系统组织、自我管理支持、决策支持、服务提供系统设计、临床信息系统以及社区资源和政策这六个关键要素）作为一个综合框架的作用，该框架可重塑与2型糖尿病相关的临床实践和护理，从而改善患者护理和临床结局。本综述是一篇基于证据的总结，阐述了在初级保健中使用慢性护理模式的重要性及其对患有最使人衰弱的代谢性疾病之一——2型糖尿病的患者临床结局的影响。
