Operationalizing the Chronic Care Model with Goal-Oriented Care.

Autor: Grudniewicz A; Telfer School of Management, University of Ottawa, Ottawa, Canada. grudniewicz@telfer.uottawa.ca., Gray CS; Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, Canada., Boeckxstaens P; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium., De Maeseneer J; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium., Mold J; George Lynn Cross Emeritus Professor, Family and Preventive Medicine, University of Oklahoma, Oklahoma City, USA.
Jazyk: angličtina
Zdroj: The patient [Patient] 2023 Nov; Vol. 16 (6), pp. 569-578. Date of Electronic Publication: 2023 Aug 29.
DOI: 10.1007/s40271-023-00645-8
Abstrakt: The Chronic Care Model has guided quality improvement in health care for almost 20 years, using a patient-centered, disease management approach to systems and care teams. To further advance efforts in person-centered care, we propose strengthening the Chronic Care Model with the goal-oriented care approach. Goal-oriented care is person-centered in that it places the focus on what matters most to each person over the course of their life. The person's goals inform care decisions, which are arrived at collaboratively between clinicians and the person. In this paper, we build on each of the elements of the Chronic Care Model with person-centered, goal-oriented care and provide clinical examples on how to operationalize this approach. We discuss how this adapted approach can support our health care systems, in particular in the context of growing multi-morbidity.
(© 2023. The Author(s).)
Databáze: MEDLINE
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