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Chronic disease management: implementation and coordination of healthcare systems for depressed elderly persons.

机译:慢性病管理:实施和协调抑郁症老人的医疗系统。

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摘要

The aim of this study was to evaluate the implementation of the research-based Chronic Care Model (CCM), discuss methods and summarise research recommendations for improving the care of depressed elderly persons. Interviews were conducted and state-of-the-art reviews employed. Three important areas emerged: (1) barriers to and facilitating factors in the implementation of the CCM; (2) the challenges involved in re-designing the delivery system and interdisciplinary team collaboration; and (3) empirical evidence pertaining to self-management support and how older persons manage to live with depressive ill-health. In conclusion, implementation research requires evidence-based knowledge, staff involvement and familiarity with the context in which development occurs.
机译:这项研究的目的是评估基于研究的慢性护理模型(CCM)的实施,讨论方法并总结研究建议以改善抑郁症老年人的护理。进行了访谈,并采用了最新技术。出现了三个重要领域:(1)实施CCM的障碍和促进因素; (2)重新设计交付系统和跨学科团队协作所涉及的挑战; (3)与自我管理支持有关的经验证据,以及老年人如何在患有抑郁症的情况下生活。总之,实施研究需要基于证据的知识,员工的参与以及对发展发生的环境的熟悉。

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