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      Los enfermos crónicos, la pandemia pendiente Translated title: The chronically ill, the pending pandemic

      editorial
      Journal of Negative and No Positive Results
      Research and Science S.L.

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          Quality improvement in chronic illness care: a collaborative approach.

          Despite rapid advances in the clinical and psycho-educational management of diabetes, the quality of care received by the average patient with diabetes remains lackluster. The "collaborative" approach--the Breakthrough Series (BTS; Institute for Healthcare Improvement [IHI]; Boston)--coupled with a Chronic Care Model was used in an effort to improve clinical care of diabetes in 26 health care organizations. Descriptive and pre-post data are presented from 23 health care organizations participating in the 13-month (August 1998-September 1999) BTS to improve diabetes care. The BTS combined the system changes suggested by the chronic care model, rapid cycle improvement, and evidence-based clinical content to assist teams with change efforts. The characteristics of organizations participating in the diabetes BTS, the collaborative process and content, and results of system-level changes are described. Twenty-three of 26 teams completed participation. Both chart review and self-report data on care processes and clinical outcomes suggested improvement based on changes teams made in the collaborative. Many of the organizations evidencing the largest improvements were community health centers, which had the fewest resources and the most challenged populations. The initial Chronic Illness BTS was sufficiently encouraging that replication and evaluation of the BTS collaborative model is being conducted in more than 50 health care systems for diabetes, congestive heart failure, depression, and asthma. This model represents a feasible method of improving the quality of care across different health care organizations and across multiple chronic illnesses.
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            Improving primary care for patients with chronic illness: the chronic care model, Part 2.

            This article reviews research evidence showing to what extent the chronic care model can improve the management of chronic conditions (using diabetes as an example) and reduce health care costs. Thirty-two of 39 studies found that interventions based on chronic care model components improved at least 1 process or outcome measure for diabetic patients. Regarding whether chronic care model interventions can reduce costs, 18 of 27 studies concerned with 3 examples of chronic conditions (congestive heart failure, asthma, and diabetes) demonstrated reduced health care costs or lower use of health care services. Even though the chronic care model has the potential to improve care and reduce costs, several obstacles hinder its widespread adoption.
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              Improving Primary Care for Patients With Chronic Illness

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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2021
                : 6
                : 1
                : 1-6
                Affiliations
                [1] orgnameUniversidad de Castilla-La Mancha orgdiv1Área de Medicina Familiar Spain
                Article
                S2529-850X2021000100001 S2529-850X(21)00600100001
                10.19230/jonnpr.3949
                018f7eaf-1d93-4d34-a47d-56fa5a1a2f98

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 16 August 2020
                : 09 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 6
                Product

                SciELO Spain

                Categories
                Editorial

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