Margaret A Kadree, Patrick Wiggins, Lura Thompson, Cynthia Warriner, Michelle White
{"title":"评估慢性病护理管理模式，以提高效率和财政可持续性。","authors":"Margaret A Kadree, Patrick Wiggins, Lura Thompson, Cynthia Warriner, Michelle White","doi":"10.2105/AJPH.2024.307886","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (<i>P</i> < .01) and blood pressure (<i>P</i> < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (<i>Am J Public Health</i>. 2025;115(2):133-137. https://doi.org/10.2105/AJPH.2024.307886).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"133-137"},"PeriodicalIF":9.6000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715579/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability.\",\"authors\":\"Margaret A Kadree, Patrick Wiggins, Lura Thompson, Cynthia Warriner, Michelle White\",\"doi\":\"10.2105/AJPH.2024.307886\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (<i>P</i> < .01) and blood pressure (<i>P</i> < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (<i>Am J Public Health</i>. 2025;115(2):133-137. https://doi.org/10.2105/AJPH.2024.307886).</p>\",\"PeriodicalId\":7647,\"journal\":{\"name\":\"American journal of public health\",\"volume\":\" \",\"pages\":\"133-137\"},\"PeriodicalIF\":9.6000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715579/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of public health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2105/AJPH.2024.307886\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of public health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2105/AJPH.2024.307886","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/21 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
慢性病护理管理是有效的。项目持久性的障碍包括依赖医疗服务提供者和护士二人组开展劳动密集型服务，以及缺乏财政上可持续的模式。2022 年 1 月至 10 月间，一个由医疗服务提供者、护士、社区保健员和药剂师组成的扩大慢性病护理管理团队在门诊环境中进行了为期四个月的干预。这项干预措施以 134 名 2 型糖尿病或高血压未得到控制的医疗保险患者为方便样本，结果表明，2 型糖尿病的控制在统计学上有显著改善（P P Am J Public Health.https://doi.org/10.2105/AJPH.2024.307886 ）。
Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability.
Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (P < .01) and blood pressure (P < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (Am J Public Health. 2025;115(2):133-137. https://doi.org/10.2105/AJPH.2024.307886).
期刊介绍：
The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
