Finding Common Ground: Patient-Centeredness and Evidence-Based Chronic Illness Care
- 1 December 2005
- journal article
- review article
- Published by Mary Ann Liebert Inc in The Journal of Alternative and Complementary Medicine
- Vol. 11 (supplement), S7-7
- https://doi.org/10.1089/acm.2005.11.s-7
Abstract
Health outcomes for patients with major chronic illnesses depend on the appropriate use of proven pharmaceuticals and other therapeutic technologies, and effective self-management by patients. Effective chronic illness care then bases clinical decisions on the best, rigorous scientific evidence, or evidence-based medicine. Effective support for patient self-management includes efforts to increase patient participation in care and collaborative goal-setting and planning of treatment. These interventions appear somewhat consistent with recent conceptualizations of patient-centered care. The consistent delivery of proven therapies and information and support for self-management requires practice systems organized for that purpose. The Chronic Care Model is a compilation of those practice system changes shown to improve chronic care. This paper explores the concept of patient-centeredness and its relationship to the Chronic Care Model. We conclude that the Model is both evidence-based and patient-centered and that these can be properties of health systems, and not just of individual practitioners.Keywords
This publication has 41 references indexed in Scilit:
- Evaluation of a Quality Improvement Collaborative in Asthma Care: Does it Improve Processes and Outcomes of Care?Annals of Family Medicine, 2005
- Measuring the Effectiveness of a Collaborative for Quality Improvement in Pediatric Asthma Care: Does Implementing the Chronic Care Model Improve Processes and Outcomes of Care?Academic Pediatrics, 2005
- Effect on Health-Related Outcomes of Interventions to Alter the Interaction Between Patients and Practitioners: A Systematic Review of TrialsAnnals of Family Medicine, 2004
- Translating what we have learned into practice: Principles and hypotheses for interventions addressing multiple behaviors in primary careAmerican Journal of Preventive Medicine, 2004
- Effectiveness of a Group Outpatient Visit Model for Chronically Ill Older Health Maintenance Organization Members: A 2‐Year Randomized Trial of the Cooperative Health Care ClinicJournal of the American Geriatrics Society, 2004
- Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and ConsumersHealth Services Research, 2004
- Comprehensive Discharge Planning With Postdischarge Support for Older Patients With Congestive Heart FailureJAMA, 2004
- Moving Toward A More Patient-Centered Health Care Delivery SystemHealth Affairs, 2004
- Improving Chronic Illness Care: Translating Evidence Into ActionHealth Affairs, 2001