Feasibility of a Web-based Collaborative Care Support(SM)Model to Improve Care fo

基于网络的协作护理支持（SM）模型改善护理的可行性

基本信息

批准号：
7803934
负责人：
Jan Swaney
金额：
$ 21.39万
依托单位：
LONGITUDE HEALTH, INC.
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-01 至 2011-12-01
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7803934
关键词：
Accounting Address Adherence Adopted Adult Behavior Therapy Behavioral Cardiovascular system Caring Chronic Chronic Disease Client satisfaction Communication Comorbidity Complex Complications of Diabetes Mellitus Coupled Data Data Collection Death Certificates Diabetes Mellitus Diagnosis Disease Management Education Enrollment Ensure Environment Expenditure Funding Health Health Expenditures Healthcare Hyperlipidemia Hypertension Intervention Medical Methodology Modeling Morbidity - disease rate Non-Insulin-Dependent Diabetes Mellitus Online Systems Patient Care Patients Premature Mortality Preventive Primary Health Care Process Process Assessment Provider Quality of Care Risk Factors Risk Reduction Self Management Services Smoking Staging System Testing Time United States Work base cardiovascular risk factor care systems chronic care model collaborative care cost disability empowered evidence base hypertensive heart disease improved innovation intervention effect meetings mortality patient oriented population health programs public health relevance satisfaction success

项目摘要

DESCRIPTION (provided by applicant): Diabetes costs the United States an estimated $174 billion annually. About two-thirds of costs arise from direct medical expenditures, and the remainder accrues from disability, work loss, and premature mortality. Associated cardiovascular comorbidities result in further mortality and morbidity; seventy-five percent (75%) of patients with diabetes also have hypertension, and heart disease is a contributing cause on 68% of diabetes-related death certificates. The cardiovascular complications of diabetes can be significantly reduced with appropriate lifestyle modification and primary and secondary preventive care; yet in the current practice environment, primary care providers find it difficult to deliver the comprehensive education and behavioral support needed to ensure adequate risk factor reduction. If patients are to receive better quality of care for this complex, chronic disease, then a model of planned care that better supports behavioral approaches to risk reduction and is integrated with the primary care practice workflow is needed. We propose to test the feasibility of Collaborative Care SupportSM (CCS), a web-based communication platform coupled with personal health guidance that enrolls adult patients who have type 2 diabetes and at least one other cardiovascular risk factor (hypertension, hyperlipidemia, and/or smoking) in a collaborative, patient-centered, behaviorally-based intervention that integrates with primary care provider workflows to improve patient activation. Previous attempts to empower patients have included disease management and self-management support, but these programs do not involve the primary care provider and are not accessible to many because of limitations their limited availability.. Because it is important that fragmented care is replaced by planned and coordinated care where possible, CCS is likely to meet with more success than traditional disease management and self-management support.

描述（由申请人提供）：糖尿病每年估计为1740亿美元。大约三分之二的成本来自直接的医疗支出，其余的因残疾，工作损失和过早死亡而产生的费用。相关的心血管合并症导致进一步的死亡率和发病率； 75％（75％）的糖尿病患者也患有高血压，心脏病是68％与糖尿病相关的死亡证明的原因。通过适当的生活方式修改以及初级和次要预防性护理，可以大大减少糖尿病的心血管并发症；然而，在当前的实践环境中，初级保健提供者发现很难提供确保减少风险因素的全面教育和行为支持。如果患者要为这种复杂的慢性疾病获得更好的护理质量，那么计划的护理模型可以更好地支持降低风险的行为方法，并且需要与初级护理实践工作流程相结合。我们建议测试一个基于Web的通信平台协作护理支持的可行性，该平台以及个人健康指导，招募患有2型糖尿病的成年患者以及至少一个其他心血管危险因素（高血压，高血压，超级血脂和/或吸烟），可在协作，患者基于患者介入的患者中，并进行了精心饮用的患者，并进行了精心锻炼。以前的尝试赋予患者权能的尝试包括疾病管理和自我管理支持，但是这些计划不涉及初级保健提供者，并且由于限制的限制，许多人无法获得许多人。.因为重要的是要以计划和协调的护理代替零散的护理，因此CCS可能会与传统疾病管理和自我管理支持相遇更多。