Improving the quality of health care for chronic conditions

被引:466
作者
Epping-Jordan, JE
Pruitt, SD
Bengoa, R
Wagner, EH
机构
[1] WHO, CH-1211 Geneva 27, Switzerland
[2] Kaiser Permanente, Sacramento, CA USA
[3] MacColl Inst Healthcare Innovat, Seattle, WA USA
来源
QUALITY & SAFETY IN HEALTH CARE | 2004年 / 13卷 / 04期
关键词
D O I
10.1136/qshc.2004.010744
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
Chronic conditions are increasingly the primary concern of healthcare systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute for Healthcare Innovation to adapt the Chronic Care Model (CCM) from a global perspective. The resultant effort is the Innovative Care for Chronic Conditions (ICCC) framework which expands community and policy aspects of improving health care for chronic conditions and includes components at the micro ( patient and family), meso ( healthcare organisation and community), and macro ( policy) levels. The framework provides a flexible but comprehensive base on which to build or redesign health systems in accordance with local resources and demands.
引用
收藏
页码:299 / 305
页数:7
相关论文
共 41 条
[21]   Learning about asthma - Educational programmes improve the ability of children and teenagers to manage their asthma [J].
Guevara, JP ;
Wolf, FM ;
Grum, CM ;
Clark, NM .
BMJ-BRITISH MEDICAL JOURNAL, 2003, 326 (7402) :1308-1309
[22]  
Gulliford MC, 1996, DIABETIC MED, V13, P574, DOI 10.1002/(SICI)1096-9136(199606)13:6<574::AID-DIA113>3.0.CO
[23]  
2-C
[24]  
Institute of Medicine (US) Committee on Quality of Health Care in America, 2001, CROSSING QUALITY CHA
[25]   Comprehensive health care for people infected with HIV in developing countries [J].
Kitahata, MM ;
Tegger, MK ;
Wagner, EH ;
Holmes, KK .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7370) :954-957
[26]   Direct observation of requests for clinical services in office practice - What do patients want and do they get it? [J].
Kravitz, RL ;
Bell, RA ;
Azari, R ;
Kelly-Reif, S ;
Krupat, E ;
Thom, DH .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (14) :1673-1681
[27]   Rethinking management of chronic diseases [J].
Lewis, R ;
Dixon, J .
BMJ-BRITISH MEDICAL JOURNAL, 2004, 328 (7433) :220-222
[28]  
LORIG K, 2003, MED CARE, V39, P1217
[29]  
Murray C.J. L., 1996, Burden of Disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020
[30]   Self-management education for adults with type 2 diabetes - A meta-analysis of the effect on glycemic control [J].
Norris, SL ;
Lau, J ;
Smith, SJ ;
Schmid, CH ;
Engelgau, MM .
DIABETES CARE, 2002, 25 (07) :1159-1171