Perceptions of the need for improvements in healthcare after implementation of the Chronic Care Model

被引:7
作者
Holm, Anne Lise [1 ]
Severinsson, Elisabeth [1 ]
机构
[1] Buskerud & Vestfold Univ Coll, Ctr Womens Family & Child Hlth, Tonsberg, Norway
关键词
Chronic Care Model; focus group; healthcare team; improvement; quality; leadership; SELF-MANAGEMENT; DEPRESSION; PROGRAMS; PATHWAYS; EFFICACY;
D O I
10.1111/nhs.12136
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Older people with depression constitute a vulnerable group, and evidence from different parts of the world has demonstrated the need for healthcare improvements at the community level. In this study, we described team members' perceptions of improvements in the care of older people with depression living in the community after the implementation of the Chronic Care Model, with a focus on delivery-system design, self-management support, and teamwork. This follow-up study was based on focus-group interviews with healthcare team members. The data were analyzed by qualitative content analysis. Four themes emerged: (i) ensuring a pathway to the top level of the organization; (ii) the need for leadership from senior managers; (iii) the need to formalize collaboration; and (iv) increasing self-management. Senior managers should cooperate with specialist care givers and administrators in the community. They must also redesign the delivery system to facilitate teamwork and the self-management ability of older people with depression.
引用
收藏
页码:442 / 448
页数:7
相关论文
共 50 条
[41]   Implementation of the Chronic Care Model in Small Medical Practices Improves Cardiovascular Risk but Not Glycemic Control [J].
Frei, Anja ;
Senn, Oliver ;
Chmiel, Corinne ;
Reissner, Josiane ;
Held, Ulrike ;
Rosemann, Thomas .
DIABETES CARE, 2014, 37 (04) :1039-1047
[42]   Linking a Motivational Interviewing Curriculum to the Chronic Care Model [J].
Abramowitz, Sharone A. ;
Flattery, Davida ;
Franses, Karena ;
Berry, Lyn .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2010, 25 :S620-S626
[43]   A systematic review of primary healthcare provider education and training using the Chronic Care Model for Childhood Obesity [J].
Jacobson, D. ;
Gance-Cleveland, B. .
OBESITY REVIEWS, 2011, 12 (501) :e244-e256
[44]   Cost-effectiveness of implementing the chronic care model for HIV care in Uganda [J].
Broughton, Edward I. ;
Muhire, Martin ;
Karamagi, Esther ;
Kisamba, Herbert .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2016, 28 (06) :802-807
[45]   Facilitators and barriers of implementing the chronic care model in primary care: a systematic review [J].
Kadu, Mudathira K. ;
Stolee, Paul .
BMC FAMILY PRACTICE, 2015, 16
[46]   Cross-cultural adaptation and validation of the Assessment of Chronic Illness Care (ACIC) Chronic Care Model - Information for chronic disease management [J].
Leal, Filipe ;
Morais, Carminda ;
Pimenta, Rui .
PROCEEDINGS OF THE 2014 9TH IBERIAN CONFERENCE ON INFORMATION SYSTEMS AND TECHNOLOGIES (CISTI 2014), 2014,
[47]   Perceptions of Need for Palliative Care in Recently Hospitalized Patients With Systolic Heart Failure [J].
Curtis, Brett R. ;
Rollman, Bruce L. ;
Belnap, Bea Herbeck ;
Jeong, Kwonho ;
Yu, Lan ;
Harinstein, Matthew E. ;
Kavalieratos, Dio .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2021, 62 (06) :1252-1261
[48]   Health care providers' perceptions of barriers to perinatal mental healthcare in South Africa [J].
Brown, Shelley ;
Sprague, Courtenay .
BMC PUBLIC HEALTH, 2021, 21 (01)
[49]   Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review [J].
Davy, Carol ;
Bleasel, Jonathan ;
Liu, Hueiming ;
Tchan, Maria ;
Ponniah, Sharon ;
Brown, Alex .
BMC HEALTH SERVICES RESEARCH, 2015, 15
[50]   Need and utilization of psychosocial care after liver transplantation [J].
Schulz, Karl-Heinz ;
Ewers, Heike ;
Rogiers, Xavier ;
Koch, Uwe .
PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE, 2007, 57 (05) :221-230