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Chronic care model strategies in the United States and Germany deliver patient-centered, high-quality diabetes care.
Stock, Stephanie; Pitcavage, James M; Simic, Dusan; Altin, Sibel; Graf, Christian; Feng, Wen; Graf, Thomas R.
Afiliación
  • Stock S; Stephanie Stock (Stephanie.Stock@uk-koeln.de) is a professor at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne, in Germany.
  • Pitcavage JM; James M. Pitcavage is a project manager at the Center for Health Research, Geisinger Health System, in Danville, Pennsylvania, and a PhD candidate in the Department of Health Policy and Administration at the Pennsylvania State University, in University Park.
  • Simic D; Dusan Simic is a scientific associate at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne.
  • Altin S; Sibel Altin is a scientific associate at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne.
  • Graf C; Christian Graf is head of the Department of Product Development, Health Care Management, and Prevention at Barmer, in Wuppertal, Germany.
  • Feng W; Wen Feng is a biostatistical analyst at the Center for Health Research, Geisinger Health System.
  • Graf TR; Thomas R. Graf is chief medical officer for population health and longitudinal care service lines, Geisinger Health System.
Health Aff (Millwood) ; 33(9): 1540-8, 2014 Sep.
Article en En | MEDLINE | ID: mdl-25201658
Improving the quality of care for chronic diseases is an important issue for most health care systems in industrialized nations. One widely adopted approach is the Chronic Care Model (CCM), which was first developed in the late 1990s. In this article we present the results from two large surveys in the United States and Germany that report patients' experiences in different models of patient-centered diabetes care, compared to the experiences of patients who received routine diabetes care in the same systems. The study populations were enrolled in either Geisinger Health System in Pennsylvania or Barmer, a German sickness fund that provides medical insurance nationwide. Our findings suggest that patients with type 2 diabetes who were enrolled in the care models that exhibited key features of the CCM were more likely to receive care that was patient-centered, high quality, and collaborative, compared to patients who received routine care. This study demonstrates that quality improvement can be realized through the application of the Chronic Care Model, regardless of the setting or distinct characteristics of the program.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Diabetes Mellitus Tipo 2 / Mejoramiento de la Calidad Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male País/Región como asunto: America do norte / Europa Idioma: En Revista: Health Aff (Millwood) Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Diabetes Mellitus Tipo 2 / Mejoramiento de la Calidad Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male País/Región como asunto: America do norte / Europa Idioma: En Revista: Health Aff (Millwood) Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos