评论:慢性病护理新模式,提高患者技能

Patrick Dunn, S. Conard
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引用次数: 1

摘要

©2018 Dunn P.本文根据知识共享署名4.0国际许可条款进行分发。更有效的治疗和提高急性心脏代谢疾病(如心脏病发作和中风)的存活率,以及人口老龄化,导致更多的人患有慢性疾病,如冠状动脉疾病、心力衰竭、高血压、高胆固醇、糖尿病和肥胖1。随着越来越多的人关注患者的长期结果,我们认为,在研究和临床实践中,更需要更有效的慢性护理模式2。目前增加患者参与的方法从低技术和低接触到高技术和高接触的干预措施,这些干预措施的实施不一致且无效。在心血管疾病和糖尿病方面,这些方法包括正式和非正式的教育方法、印刷和数字媒体、追踪活动血压、体重和血糖的应用程序和可穿戴设备,以及心脏康复和糖尿病自我管理计划等疾病管理计划3。最终,由于运营、资源和报销方面的挑战,高影响力模型在临床环境中交付具有挑战性。
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Commentary: A New Model for Chronic Care to Improve Patient's Skill
© 2018 Dunn P. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. More effective treatment and increased survival from acute cardiometabolic conditions, such as heart attack and stroke, and an aging population has resulted in more people living with chronic conditions, such as coronary artery disease, heart failure, hypertension, high cholesterol, diabetes, and obesity1. With increased incentives to focus on the long-term outcomes of patients, we believe that there is an even greater need for more effective models for chronic care, both in research and in clinical practice2. Current approaches for increasing patient involvement range from low tech and low touch to high tech and high touch interventions that are delivered inconsistently and ineffectively. In cardiovascular disease and diabetes these approaches include formal and informal educational methods, print and digital media, apps and wearables that track activity blood pressure, weight, and glucose, and disease management programs such as cardiac rehabilitation and diabetes self-management programs3. Ultimately, high impact models are challenging to deliver in a clinical setting due to operational, resource, and reimbursement challenges.
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