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Disease Management Interventions: What's in the Black Box?

机译：疾病管理干预：黑匣子里有什么？

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摘要

In discussing evaluation techniques to assess disease management (DM) program outcomes, it is often assumed that DM program interventions are premised on sound clinical judgment, an understanding of the disease process, and knowledge of the psychosocial models of behavioral change that must be used to effect those processes and ultimately improve the health outcomes that are being evaluated. This paper describes eight commonly used behavioral change models applied in the healthcare industry today. They represent programs designed to address individual, interpersonal, and community level factors as well as "packaged" comprehensive approaches. These models illustrate the breadth of approaches to consider when designing or assessing DM program interventions. Careful consideration of the type of behavioral change desired and the theories of how to effect such change should be an integral part of designing disease management program interventions.
机译：在讨论评估疾病管理（DM）计划结果的评估技术时，通常会假设DM计划干预以合理的临床判断，对疾病过程的理解以及行为改变的心理社会模型的知识为前提。影响这些过程并最终改善正在评估的健康结果。本文介绍了当今医疗行业应用的八种常用行为改变模型。它们代表旨在解决个人，人际和社区层面因素以及“打包”综合方法的计划。这些模型说明了在设计或评估DM计划干预措施时要考虑的方法的广泛性。仔细考虑所需的行为改变类型以及如何实现这种改变的理论应成为设计疾病管理计划干预措施的组成部分。

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