Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives

被引:17
|
作者
Bazzano, Alessandra N. [1 ]
Wharton, M. Kristina [2 ]
Monnette, Alisha [2 ]
Nauman, Elizabeth [3 ]
Price-Haywood, Eboni [4 ]
Glover, Cathy [5 ]
Dominick, Patricia [5 ]
Malone, Peggy [5 ]
Hu, Gang [6 ]
Shi, Lizheng [2 ]
机构
[1] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Global Community Hlth & Behav Sci, New Orleans, LA 70112 USA
[2] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Global Hlth Management & Policy, New Orleans, LA 70112 USA
[3] Louisiana Publ Hlth Inst, New Orleans, LA 70112 USA
[4] Ochsner Hlth Syst Ctr Appl Hlth Serv Res, New Orleans, LA 70121 USA
[5] LEAD Study Steering Comm, New Orleans, LA 70112 USA
[6] Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA
关键词
health care quality; access; evaluation; diabetes complications; disease management; health systems research; aged; COORDINATION; PATIENT; PROGRAM; DISEASE; LIFE;
D O I
10.3390/jcm7110451
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The burden of illness related to diabetes and its complications is exceedingly high and growing globally. Systematic approaches to managing chronic care are needed to address the complex nature of the disease, taking into account health system structures. This study presents data collected from interviews with physicians, health system administrators, and other healthcare staff about chronic care management for elderly people with diabetes co-morbid with other chronic conditions in light of new programs intended to reduce barriers by incentivizing care encounters that take place through telephone and electronic communications (non-face-to-face care). Results indicate that health system personnel view non-face-to-face care as potentially providing value for patients and addressing systemic needs, yet challenging to implement in practice. Barriers and facilitators to this approach for managing diabetes and chronic care management for its complications are presented, with consideration to different types of health systems, and recommendations are provided for implementation.
引用
收藏
页数:12
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