Evidence-based models of care for people with epilepsy

被引:39
作者
Fitzsimons, Mary [1 ]
Normand, Charles [2 ]
Varley, Jarlath [1 ]
Delanty, Norman [1 ]
机构
[1] Beaumont Hosp, Epilepsy Programme, Dublin 9, Ireland
[2] Trinity Coll Dublin, Dept Hlth Policy & Management, Dublin, Ireland
关键词
Chronic disease management; Patient self-management; Integrated care; Epilepsy specialist nurse; Epilepsy care guidelines; Health information technology; Primary care; RANDOMIZED CONTROLLED-TRIAL; ELECTRONIC HEALTH RECORDS; NEWLY-DIAGNOSED EPILEPSY; QUALITY-OF-LIFE; TREATMENT PROGRAM; GENERAL-PRACTICE; TIGER TRIAL; NURSE; INTERVENTION; MANAGEMENT;
D O I
10.1016/j.yebeh.2011.10.019
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Advances in medical science and technology, together with improved medical and nursing care, are continuously improving health outcomes in chronic illness, including epilepsy. The consequent increasing diagnostic and therapeutic complexity is placing a burgeoning strain on health care systems. In response, an international move to transform chronic disease management (CDM) aims to optimize the quality and safety of care while containing health care costs. CDM models recommend: integration of care across organizational boundaries that is supported with information and communication technology; patient self-management; and guideline implementation to promote standardized care. Evidence of the effectiveness of CDM models in epilepsy care is presented in this review article. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:1 / 6
页数:6
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