An Inconvenient Truth: A Sustainable Healthcare System Requires Chronic Disease Prevention and Management Transformation

作者: Matthew Morgan , Nicholas Zamora , Michael Hindmarsh

DOI: 10.12927/HCPAP.2007.18992

关键词:

摘要: Canada's initial success at shortening wait times will not transform our healthcare system unless it is matched with equal in the prevention and management of chronic diseases. A growing body evidence highlights significant gap between recommended care actual received for those risk or living illnesses. This quality only results preventable morbidity mortality but also lengthens services threatens sustainability system. national strategy on disease (CDPM) that leverages federal, provincial territorial (FPT) response to illness help ensure We begin this paper by highlighting some facts behind inconvenient truth. then review provide examples several best practices CDPM. suggest these foundation a CDPM argue FPT mandate be expanded encompass result "care guarantees." conclude high-level preliminary analysis costs benefits Canada.

参考文章(12)
Katya Fonkych, Constance Fung, James H. Bigelow, Jason Wang, Analysis of Healthcare Interventions that Change Patient Trajectories ,(2005)
Alexander C. Tsai, Carol M. Mangione, Sally C. Morton, Emmett B. Keeler, A meta-analysis of interventions to improve care for chronic illnesses. The American Journal of Managed Care. ,vol. 11, pp. 478- 488 ,(2005)
Thomas Bodenheimer, Edward H. Wagner, Kevin Grumbach, Improving primary care for patients with chronic illness: the chronic care model, Part 2 JAMA. ,vol. 288, pp. 1909- 1914 ,(2002) , 10.1001/JAMA.288.15.1909
Wagner Eh, Chronic disease management: what will it take to improve care for chronic illness? Effective clinical practice : ECP. ,vol. 1, pp. 2- 4 ,(1998)
C. M. Renders, G. D. Valk, S. J. Griffin, E. H. Wagner, J. ThM. Eijk van, W. J.J. Assendelft, Interventions to Improve the Management of Diabetes in Primary Care, Outpatient, and Community Settings: A systematic review Diabetes Care. ,vol. 24, pp. 1821- 1833 ,(2001) , 10.2337/DIACARE.24.10.1821
Elizabeth A. McGlynn, Steven M. Asch, John Adams, Joan Keesey, Jennifer Hicks, Alison DeCristofaro, Eve A. Kerr, The quality of health care delivered to adults in the United States. The New England Journal of Medicine. ,vol. 348, pp. 2635- 2645 ,(2003) , 10.1056/NEJMSA022615
Cathy Schoen, Robin Osborn, Phuong Trang Huynh, Michelle Doty, Jordon Peugh, Kinga Zapert, On The Front Lines Of Care: Primary Care Doctors' Office Systems, Experiences, And Views In Seven Countries Health Affairs. ,vol. 25, pp. W555- W571 ,(2006) , 10.1377/HLTHAFF.25.W555
Cathy Schoen, Robin Osborn, Phuong Trang Huynh, Michelle Doty, Kinga Zapert, Jordon Peugh, Karen Davis, Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health Problems In Six Countries Health Affairs. ,vol. 24, pp. W5- 509 ,(2005) , 10.1377/HLTHAFF.W5.509
Victoria Barr, Sylvia Robinson, Brenda Marin-Link, Lisa Underhill, Anita Dotts, Darlene Ravensdale, Sandy Salivaras, The expanded Chronic Care Model: an integration of concepts and strategies from population health promotion and the Chronic Care Model. Healthcare quarterly. ,vol. 7, pp. 73- 82 ,(2003) , 10.12927/HCQ.2003.16763