Organizing care for patients with chronic illness

被引:1926
|
作者
Wagner, EH
Austin, BT
VonKorff, M
机构
[1] Grp. Hlth. Coop. of Puget Sound, Seattle, WA
来源
MILBANK QUARTERLY | 1996年 / 74卷 / 04期
关键词
D O I
10.2307/3350391
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems, The medical literature suggests strategies to improve outcomes in these patients, effective interventions tend to fall into one of five areas: the use of evidence-based, planned care; reorganization of practice systems and provider roles; improved patient sell-management support: increased access to expertise; and greater availability of clinical information. The challenge is to organize these components into an integrated system of chronic illness care, Whether this can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care remains unanswered.
引用
收藏
页码:511 / +
页数:1
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