Enhancing patient-centered care: pilot study results of a community care team intervention.
West J Nurs Res
; 36(1): 47-65, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-23735711
ABSTRACT
Health care reform focuses on primary care and development of Health Care Homes to improve patient-centered chronic illness care. This pilot study evaluated a community care team intervention that linked chronically ill older patients, support persons, and nurse care coordinators from a Health Care Home with community resources using an adaptation of the Wraparound process. A pragmatic clinical trial design was used. Patient-centered chronic illness care; physical, mental, and social health; service use; and study feasibility were evaluated. Differences between groups were compared using two-sample t, Wilcoxon rank sum, chi-square, or Fisher's exact tests. At 3 months, the intervention group reported higher patient-centered chronic illness care (mean total Patient Assessment of Chronic Illness Care change scores were 0.39 for the intervention group and -0.11 for the control group, p = .03). Results indicate that the integrated community care team intervention is a promising strategy to support patient-centered chronic illness care.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Assistência Centrada no Paciente
/
Redes Comunitárias
Tipo de estudo:
Clinical_trials
Limite:
Humans
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article