Optimering af indsatsen ved kroniske sygdomme. Model for en sammenhaengende indsats
Engelsk titel: Optimization of the care process for chronic diseases: the Chronic Care Model
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Författare:
Frölich A
;
Hendriksen C
;
Juul Jörgensen S
Email: af12@bbh.hosp.dk
Språk: Dan
Antal referenser: 13
Dokumenttyp:
Artikel
UI-nummer: 05011896
Sammanfattning
There is evidence that a complex of contributions which supports the continuity of the care process for patients with chronic conditions is of key importance to the improvement of the patients' outcomes and reduction of their risk of developing complications. This paper describes the Chronic Care Model and the interconnected contributions of various types of care and organizational practices which together create a high-quality care process and improved outcome. The model addresses six areas that are essential to improved outcome: the community, the health care system, self-managed support, delivery system design, decision-making support, and clinical information systems. Important evidence that supports the model is summarized.