A survey of leading chronic disease management programs: are they consistent with the literature?...reprinted from Managed Care Quarterly, Vol. 7, No. 3, pp. 56-66, © 1999 Aspen Publishers, Inc.
Caring for patients with chronic illness in an era of cost constraints and performance monitoring has led to a sharp growth in 'disease management' efforts by health systems utilizing internal innovators or outside firms. This paper describes surveys and site visits of the chronic disease management...
| Publicado en: | Journal of Nursing Care Quality Vol. 16; no. 2; pp. 67 - 81 |
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| Autores principales: | , , , , |
| Formato: | practice guidelines research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106932160&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106932160 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10573631 0NZ jtl: Journal of Nursing Care Quality issn: 10573631 maglogo: N pubinfo: dt: Jan2002 vid: 16 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106932160 2002063924 10.1097/00001786-200201000-00008 106932160 ppf: 67 ppct: 14 formats: fmt: @attributes: type: P tig: atl: A survey of leading chronic disease management programs: are they consistent with the literature?...reprinted from Managed Care Quarterly, Vol. 7, No. 3, pp. 56-66, © 1999 Aspen Publishers, Inc. aug: au: Wagner EH Davis C Schaefer J Von Korff M Austin B affil: Director, MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington sug: subj: Disease Management Chronic Disease Funding Source Models, Theoretical Professional Practice, Evidence-Based Program Evaluation Multidisciplinary Care Team Staff Development Surveys Interviews Telephone Questionnaires Data Analysis Patient Education Self Care Expert Systems Work Redesign Practice Guidelines Decision Support Systems, Clinical Adult Aged Human Adult: 19-44 years Aged: 65+ years ab: Caring for patients with chronic illness in an era of cost constraints and performance monitoring has led to a sharp growth in 'disease management' efforts by health systems utilizing internal innovators or outside firms. This paper describes surveys and site visits of the chronic disease management activities of 72 programs nominated by experts in the field of chronic illness care as being particularly innovative and effective. The survey and analysis were guided by a Model for Effective Chronic Illness Care derived from a process of literature synthesis and expert review. The model proved to be useful in describing the characteristics consistently shared by successful programs, and the surveys indicated common barriers to further expansion of innovative pilot programs. The survey indicated that most of the nominated programs were limited in their effectiveness and reach by their reliance on traditional patient education, rather than modern self-management support, poor linkages to primary care, and reliance on referrals rather than population-based approaches. Copyright © 2002 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: practice guidelines research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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