Improving primary care for patients with chronic illness

被引:1679
|
作者
Bodenheimer, T
Wagner, EH
Grumbach, K
机构
[1] Univ Calif San Francisco, San Francisco, CA 94143 USA
[2] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, MacColl Inst Healthcare Innovat, Seattle, WA USA
来源
关键词
D O I
10.1001/jama.288.14.1775
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The chronic care model is a guide to higher-quality chronic illness management within primary care. The model predicts that improvement in its 6 interrelated components-self-management support, clinical information systems, delivery system redesign, decision support, health care organization, and community resources-can produce system reform in which informed, activated patients interact with prepared, proactive practice teams. Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations.
引用
收藏
页码:1775 / 1779
页数:5
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