Population Management, Systems-Based Practice, and Planned Chronic Illness Care: Integrating Disease Management Competencies into Primary Care to Improve Composite Diabetes Quality Measures
| Autor: | Richard Marshall, Joe Kimura, Karen DaSilva |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Chronic care
medicine.medical_specialty Primary Health Care Quality Assurance Health Care Delivery of Health Care Integrated business.industry Health Policy MEDLINE Retrospective cohort study medicine.disease United States Blood pressure Ambulatory care Population Surveillance Diabetes mellitus Family medicine Chronic Disease Ambulatory Diabetes Mellitus Humans Medicine Disease management (health) business Quality Indicators Health Care |
| Zdroj: | Disease Management. 11:13-22 |
| ISSN: | 1557-8860 1093-507X |
| DOI: | 10.1089/dis.2008.111718 |
| Popis: | The increasing prevalence of chronic illnesses in the United States requires a fundamental redesign of the primary care delivery system's structure and processes in order to meet the changing needs and expectations of patients. Population management, systems-based practice, and planned chronic illness care are 3 potential processes that can be integrated into primary care and are compatible with the Chronic Care Model. In 2003, Harvard Vanguard Medical Associates, a multispecialty ambulatory physician group practice based in Boston, Massachusetts, began implementing all 3 processes across its primary care practices. From 2004 to 2006, the overall diabetes composite quality measures improved from 51% to 58% for screening (HgA1c x 2, low-density lipoprotein, blood pressure in 12 months) and from 13% to 17% for intermediate outcomes (HgA1c |
| Databáze: | OpenAIRE |
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