Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems.
The medical literature suggests strategies to improve outcomes in these patients.
Effective interventions tend to fall into one of five areas :
the use of evidence-based, planned care ;
reorganization of practice systems and provider roles ;
improved patient self-management support ;
increased access to expertise ;
and greater availability of clinical information.
The challenge is to organize these components into an integrated system of chronic illness care.
Whether this can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care remains unanswered.
Mots-clés Pascal : Maladie, Chronique, Organisation santé, Service santé, Soin, Programme sanitaire, Système santé, Homme, Soin intégré, Article synthèse
Mots-clés Pascal anglais : Disease, Chronic, Public health organization, Health service, Care, Sanitary program, Health system, Human, Managed care, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0074568
Code Inist : 002B30A01B. Création : 21/05/1997.