Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse

被引：201

作者：

Katon, W

Von Korff, M

Lin, E

Simon, G

机构：

[1] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[2] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA

来源：

GENERAL HOSPITAL PSYCHIATRY | 2001年 / 23卷 / 03期

关键词：

stepped care; chronic illness;

D O I：

10.1016/S0163-8343(01)00136-0

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

In this article, we describe an evidence-based stepped care approach to improving the care of chronic illness in organized health care systems. We review the common principles that have been found to improve the management and outcomes of patients with major depression, asthma, diabetes, and congestive heart failure. These population-based methods to improve care of chronic illness require reorganizing the roles of specialists, primary care physicians, and nurses. (C) 2001 Elsevier Science Inc. All rights reserved.

引用

收藏

页码：138 / 144

页数：7

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