What Can Improve Chronic Disease Care?

被引：11

作者：

Kane, Robert L. ^{[1
]}

机构：

[1] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN 55455 USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2009年 / 57卷 / 12期

关键词：

primary care; geriatrics; disease management; self-care; care coordination; OBSTRUCTIVE PULMONARY-DISEASE; RANDOMIZED CONTROLLED-TRIAL; SELF-MANAGEMENT EDUCATION; OUTPATIENT GERIATRIC EVALUATION; META-REGRESSION ANALYSIS; CORONARY-HEART-DISEASE; MEDICAL HOME; TRANSITIONAL CARE; CLINICAL-TRIAL; PATIENT EDUCATION;

D O I：

10.1111/j.1532-5415.2009.02569.x

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Chronic disease care is a central part of geriatrics. The rise in chronic disease draws attention to the need to find better ways to deliver effective care. This essay examines the effectiveness of several strategies for providing better chronic disease care, reviewing the literature and relying on extant reviews whenever possible. The evidence of effectiveness is mixed; a few areas show promise. The case for cost-effectiveness is even less strong. New strategies may be indicated, including more-proactive monitoring of clinical courses and assessing patients' readiness to participate actively in their own care. J Am Geriatr Soc 57:2338-2345, 2009.

引用

页码：2338 / 2345

页数：8

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