An evaluation of audiology service improvement documentation in England using the chronic care model and content analysis.
Int J Audiol
; 53(6): 377-82, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24313709
ABSTRACT
OBJECTIVE:
Implementation of the chronic care model (CCM) is associated with improved outcomes for patients. It follows that any proposed policy or implementation plan that maps highly onto the CCM is more likely to lead to improved outcomes. The aim of this study was to compare long-term condition (LTC) policy documents and audiology quality standard documents with the CCM and to highlight the need for further research in service implementation and clinical outcome.DESIGN:
We carried out a keyword-in-context content analysis of relevant documents. STUDY SAMPLE Documents relating to health department policy on LTCs, audiology service improvement initiatives in England and the CCM.RESULTS:
This analysis shows that current audiology implementation documents in England map poorly onto the CCM compared to health policy documents relating to the management of LTCs. The biggest discrepancies occur in self-management support, delivery system design, and decision support. These elements are supported by the best evidence of potential improvements in clinical outcome.CONCLUSIONS:
Our content analysis of audiology service quality improvement documents in England suggests they compare poorly to some elements of the CCM. We discuss the implications this might have for future research.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Processos e Resultados em Cuidados de Saúde
/
Medicina Estatal
/
Audiologia
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Indicadores de Qualidade em Assistência à Saúde
/
Atenção à Saúde
/
Melhoria de Qualidade
/
Perda Auditiva
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
/
Sysrev_observational_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int J Audiol
Assunto da revista:
AUDIOLOGIA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Reino Unido