Integrated care for chronic conditions: The contribution of the ICCC Framework

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• 作者：Roberto Nu&ntilde ; o^a ; ^{nuno@bioef.org} ; Katie Coleman^b ; ^{coleman.cf@ghc.org} ; Rafael Bengoa^c ; ^{bengoa@ej-gv.es} ; Regina Sauto^a ; ^{regina@bioef.org}
• 关键词：Chronic disease ; Health policy ; Organizational innovation ; Integrated healthcare systems
• 刊名：Health Policy
• 出版年：2012
• 期刊代码：110_01688510
• 类别：med
• 出版时间：April, 2012
• 卷：105
• 期：1
• 页码：55-64
• 文件大小：563 K

摘要

Objective

The aim of this research is to highlight the current relevance of the Innovative Care for Chronic Conditions (ICCC) Framework, as a model for change in health systems towards better care for chronic conditions, as well as to assess its impact on health policy development and healthcare redesign to date.

Methods

The authors reviewed the literature to identify initiatives designed and implemented following the ICCC Framework. They also reviewed the evidence on the effectiveness, cost-effectiveness and feasibility of the ICCC and the earlier Chronic Care Model (CCM) that inspired it.

Results

The ICCC Framework has inspired a wide range of types of intervention and has been applied in a number of countries with diverse healthcare systems and socioeconomic contexts. The available evidence supports the effectiveness of this framework's components, although no study explicitly assessing its comprehensive implementation at a health system level has been found.

Conclusions

As awareness of the need to reorient health systems towards better care for chronic patients grows, there is great potential for the ICCC Framework to serve as a road map for transformation, with its special emphasis on integration, and on the role of the community and of a positive political environment.