ABSTRACT

Mixed evidence of care management effectiveness raises questions about how these services are provided in practice. This study evaluates care management in nine provider settings using elements from two prominent models: The Chronic Care Model and the Care Transitions Program. Staff interviews addressed organizational and community resources. Patients were also surveyed about their experiences. Patients generally indicated actively managing their own care. However, patient interactions with care managers generally fell below recommended levels. This study suggests a need to examine the quantity of specific elements of care management that yield desired outcomes, such as improved disease self-management and health.

摘要

护理管理有效性的混合证据提出了有关如何在实践中提供这些服务的问题。这项研究使用两个著名模型（慢性护理模型和护理过渡计划）中的元素，评估了九种服务提供者环境中的护理管理。员工访谈涉及组织和社区资源。还对患者进行了有关其经历的调查。患者通常表示积极管理自己的护理。但是，患者与护理经理的互动通常低于建议水平。这项研究表明，有必要检查产生预期结果的护理管理特定要素的数量，例如改善疾病的自我管理和健康状况。