随着我国逐渐步入老龄化社会,医疗卫生服务事业的挑战将不断增加。目前,我国医疗环境存在医疗资源不足、卫生保健费用逐年增加、护理人员缺乏等问题。因此,如何合理有效地利用现有的资源,提高护理质量、改善健康结局成为护理界关注和急...随着我国逐渐步入老龄化社会,医疗卫生服务事业的挑战将不断增加。目前,我国医疗环境存在医疗资源不足、卫生保健费用逐年增加、护理人员缺乏等问题。因此,如何合理有效地利用现有的资源,提高护理质量、改善健康结局成为护理界关注和急需解决的问题。1992年Lott初次提出的协同护理模式（collaborative care model,CCM）是随着这些问题呈现的。目前,展开更多
A contextual review of models for chronic care was done to develop a context-adapted chronic care model-based service delivery model for chronic conditions including diabetes.The Philippines was used as the setting of...A contextual review of models for chronic care was done to develop a context-adapted chronic care model-based service delivery model for chronic conditions including diabetes.The Philippines was used as the setting of a low-to-middle-income country.A context-based narrative review of existing models for chronic care was conducted.A situational analysis was done at thegrassroots level,involving the leaders and members of the community,the patients,the local health system and the healthcare providers.A second analysis making use of certain organizational theories was done to explore on improving feasibility and acceptability of organizing care for chronic conditions.The analyses indicated that care for chronic conditions may be introduced,considering the needs of people with diabetes in particular and the community in general as recipients of care,and the issues and factors that may affect the healthcare workers and the health system as providers of this care.The context-adapted chronic care model-based service delivery model was constructed accordingly.Key features are:incorporation of chronic care in the health system's services; assimilation of chronic care delivery with the other responsibilities of the healthcare workers but with redistribution of certain tasks; and ensuring that the recipients of care experience the whole spectrum of basic chronic care that includes education and promotion in the general population,risk identification,screening,counseling including self-care development,and clinical management of the chronic condition and any co-morbidities,regardless of level of control of the condition.This way,low-to-middle income countries can introduce and improve care for chronic conditions without entailing much additional demand on their limited resources.展开更多
文摘随着我国逐渐步入老龄化社会,医疗卫生服务事业的挑战将不断增加。目前,我国医疗环境存在医疗资源不足、卫生保健费用逐年增加、护理人员缺乏等问题。因此,如何合理有效地利用现有的资源,提高护理质量、改善健康结局成为护理界关注和急需解决的问题。1992年Lott初次提出的协同护理模式（collaborative care model,CCM）是随着这些问题呈现的。目前,
基金Supported by The Belgian Directorate for Development Cooperation through the Institute of Tropical Medicine,Antwerp
文摘A contextual review of models for chronic care was done to develop a context-adapted chronic care model-based service delivery model for chronic conditions including diabetes.The Philippines was used as the setting of a low-to-middle-income country.A context-based narrative review of existing models for chronic care was conducted.A situational analysis was done at thegrassroots level,involving the leaders and members of the community,the patients,the local health system and the healthcare providers.A second analysis making use of certain organizational theories was done to explore on improving feasibility and acceptability of organizing care for chronic conditions.The analyses indicated that care for chronic conditions may be introduced,considering the needs of people with diabetes in particular and the community in general as recipients of care,and the issues and factors that may affect the healthcare workers and the health system as providers of this care.The context-adapted chronic care model-based service delivery model was constructed accordingly.Key features are:incorporation of chronic care in the health system's services; assimilation of chronic care delivery with the other responsibilities of the healthcare workers but with redistribution of certain tasks; and ensuring that the recipients of care experience the whole spectrum of basic chronic care that includes education and promotion in the general population,risk identification,screening,counseling including self-care development,and clinical management of the chronic condition and any co-morbidities,regardless of level of control of the condition.This way,low-to-middle income countries can introduce and improve care for chronic conditions without entailing much additional demand on their limited resources.
