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Document Typology: Research
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Title of document: Community need for a Chronic Illness Strategies Clinic.
Name of author(s): Strang, Sharon L
Name of publisher: University of Virginia, 2009; Ph.D. (123 p)
Language of the publication: English
Language of the review: English
Summary:
The current health care system has been ineffective at addressing increasing death and disability due to chronic illness. Innovative models are needed to deal with this burden. The purpose of this project was to assess the need for a nurse-managed interdisciplinary patient-centered clinic based on the Chronic Care Model (CCM). The proposed Chronic Illness Strategies Clinic will be guided by national priorities outlined in Healthy People 2010. The initial population will be clients with metabolic syndrome. The methodology was a community needs assessment consisting of secondary data analysis, patient and provider surveys and key informant interviews. The secondary data analysis compared national, state and local health indicators. The patient and provider surveys tested the components of the CCM. Key informant interviews focused on strengths and gaps in the services available to people with chronic illness in a community in the central Shenandoah Valley. Data related to heart disease, hypertension and cerbrovascular disease revealed higher rates for the target area than that for the nation. Lags in achievement of many of the goals of Healthy People 2010 were noted. Provider surveys and key informant interviews showed that the majority of those participating were not familiar with the CCM. Mean results for the CCM components indicated basic support for all six areas assessed, the second lowest level possible in the ranking. Providers lowest mean was the area of community linkages, and this was validated by the patient survey showing the lowest scores in the areas of referrals to either groups, classes, programs or other health care professionals in the community. These factors in combination with the key informants' answers noting gaps in community services available to people with chronic illnesses supported the need for the Chronic Illness Strategies Clinic.
Reviewer's comments on the document:
Mean results for the CCM components indicated basic support for all six areas assessed, the second lowest level possible in the ranking. Providers lowest mean was the area of community linkages, and this was validated by the patient survey showing the lowest scores in the areas of referrals to either groups, classes, programs or other health care professionals in the community. These factors in combination with the key informants' answers noting gaps in community services available to people with chronic illnesses supported the need for the Chronic Illness Strategies Clinic.
Where to find it: CINAHL http://web.ebscohost.com.offcampus.dam.unito.it/ehost/detail?sid=fe8dcf6c-6d20-4b79-b0be-61295fa0b7f0%40sessionmgr112&vid=1&hid=125&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=cin20&AN=2010964966

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