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Journal ArticleDOI

Improving Chronic Illness Care: Translating Evidence Into Action

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TLDR
The CCM is described, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process are described, to guide quality improvement.
Abstract
The growing number of persons suffering from major chronic illnesses face many obstacles in coping with their condition, not least of which is medical care that often does not meet their needs for effective clinical management, psychological support, and information. The primary reason for this may be the mismatch between their needs and care delivery systems largely designed for acute illness. Evidence of effective system changes that improve chronic care is mounting. We have tried to summarize this evidence in the Chronic Care Model (CCM) to guide quality improvement. In this paper we describe the CCM, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process.

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Journal ArticleDOI

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

TL;DR: The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories.
Journal ArticleDOI

Improving Primary Care for Patients With Chronic Illness

TL;DR: The chronic care model is a guide to higher-quality chronic illness management within primary care and predicts that improvement in its 6 interrelated components can produce system reform in which informed, activated patients interact with prepared, proactive practice teams.
Book

Health Professions Education: A Bridge to Quality

TL;DR: Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education.
Journal ArticleDOI

Evidence On The Chronic Care Model In The New Millennium

TL;DR: Accumulated evidence appears to support the Chronic Care Model as an integrated framework to guide practice redesign, and studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes.
Journal ArticleDOI

Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer: The Project ENABLE II Randomized Controlled Trial

TL;DR: In this article, the authors evaluated the effect of a nursing-led intervention on quality of life, symptom intensity, mood, and resource use in patients with advanced cancer in a randomized controlled trial.
References
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Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)

TL;DR: The effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
Journal ArticleDOI

Organizing care for patients with chronic illness.

TL;DR: The challenge is to organize these components into an integrated system of chronic illness care, which can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care.
Journal ArticleDOI

Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines.

TL;DR: The potential benefits, limitations, and harms of clinical guidelines are examined, a tool for making care more consistent and efficient and for closing the gap between what clinicians do and what scientific evidence supports.
Journal ArticleDOI

Effectiveness of Self-Management Training in Type 2 Diabetes: A systematic review of randomized controlled trials

TL;DR: Evidence supports the effectiveness of self-management training in type 2 diabetes, particularly in the short term, and further research is needed to assess the effectiveness on sustained glycemic control, cardiovascular disease risk factors, and ultimately, microvascular and cardiovascular disease and quality of life.
Journal ArticleDOI

Self-management education and regular practitioner review for adults with asthma

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