Recommendations from the 2013 galveston brain injury conference for implementation of a chronic care model in brain injury.
Physical Medicine and Rehabilitation, Indiana University School of Medicine and Rehabilitation Hospital of Indiana, Indianapolis (Drs Malec and Hammond); Rehabilitation Medicine, New York University School of Medicine and Rusk Institute of Rehabilitation Medicine, NYU-Langone Medical Center, New York (Dr Flanagan); Physical Medicine and Rehabilitation, Indiana University School of Medicine and Roudebush Veterans Administration Medical Center, Indianapolis (Dr Kean); TIRR Memorial Hermann and Physical Medicine and Rehabilitation, University of Texas Medical School at Houston, Baylor College of Medicine, Houston (Drs Sander, Sherer); and Transitional Learning Center and University of Texas Medical Branch, Galveston (Dr Masel).The Journal of head trauma rehabilitation (Impact Factor: 2.39). 01/2013; 28(6):476-83. DOI: 10.1097/HTR.0000000000000003
- Clinical Oncology 01/1998; 10(1):1-2. · 2.83 Impact Factor
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ABSTRACT: Caring for patients with chronic illness in an era of cost constraints and performance monitoring has led to a sharp growth in "disease management" efforts by health systems utilizing internal innovators or outside firms. This paper describes surveys and site visits of the chronic disease management activities of 72 programs nominated by experts in the field of chronic illness care as being particularly innovative and effective. The survey and analysis were guided by a Model for Effective Chronic Illness Care derived from a process of literature synthesis and expert review. The model proved to be useful in describing the characteristics consistently shared by successful programs, and the surveys indicated common barriers to further expansion of innovative pilot programs. The survey indicated that most of the nominated programs were limited in their effectiveness and reach by their reliance on traditional patient education, rather than modern self-management support, poor linkages to primary care, and reliance on referrals rather than population-based approaches.Managed care quarterly 02/1999; 7(3):56-66.
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ABSTRACT: Self-management has become a popular term for behavioral interventions as well as for healthful behaviors. This is especially true for the management of chronic conditions. This article offers a short history of self-management. It presents three self-management tasks--medical management, role management, and emotional management--and six self-management skills--problem solving, decision making, resource utilization, the formation of a patient-provider partnership, action planning, and self-tailoring. In addition, the article presents evidence of the effectiveness of self-management interventions and posits a possible mechanism, self-efficacy, through which these interventions work. In conclusion the article discusses problems and solutions for integrating self-management education into the mainstream health care systems.Annals of Behavioral Medicine 09/2003; 26(1):1-7. · 4.20 Impact Factor
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