Collegian
Volume 17, Issue 2 , Pages 63-69 , July 2010

Can principles of the Chronic Care Model be used to improve care of the older person in the acute care sector?

  • Louise D. Hickman, RN, MPH, PhD

      Affiliations

    • School of Nursing (Sydney), PO Box 944, Broadway, New South Wales 2007, Australia
    • The University of Notre Dame Australia
    • Corresponding Author InformationCorresponding author at: School of Nursing, PO Box 944, Broadway NSW 2007, Australia. Tel.: +61 2 82044184; fax: +61 2 82044422.
    • ,
  • John X. Rolley, RN, BN(Hons)

      Affiliations

    • Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Australia
    • ,
  • Patricia M. Davidson, RN, BA, MEd, PhD

      Affiliations

    • Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Australia

Received 8 December 2009 ,Revised 11 April 2010 ,Accepted 18 May 2010.

References 

  1. Australian Department of Health and Ageing . Department of Health and Ageing Factbook 2006. Canberra: Commonwealth of Australia; 2006;
  2. Australian Institute of Health and Welfare . Older Australia at a glance. 3rd ed.. Canberra: Australian Institute of Health and Welfare; 2002;
  3. Australian Institute of Health and Welfare . Interface between hospital and residential aged care. Feasibility study on linking hospital morbidity and residential aged care data. Canberra: Australian Institute of Health and Welfare; 2003;
  4. Australian Institute of Health and Welfare. (2008). Australia's health 2008: The eleventh biennial health report of the Australian Institute of Health and Welfare. Retrieved 14 March 2009, from http://www.aihw.gov.au/publications/aus/ah08/ah08-c00.pdf.
  5. Barnett P, Barnett R. Community ventures in rural health: The establishment of community health trusts in southern New Zealand. Australian Journal of Rural Health. 2001;9:229–234
  6. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. Journal of American Medical Association. 2002;288(14):1775–1779
  7. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: The Chronic Care Model, Part 2. Journal of American Medical Association. 2002;288(15):1909–1914
  8. Buchanan J, Considine G. Stop telling us to cope! A report for the NSW Nurses Association. Sydney: Australian Centre for Industrial Relations Research and Training, University of Sydney; 2002;
  9. Bury M. The sociology of chronic illness: A review of research and prospects. Sociology of Health and Illness. 1991;13(4):451–468
  10. Coleman EA, Parry C, Chalmers S, Min S. The care transitions intervention: Results of a randomized controlled trial. Archives Internal Medicine. 2006;166(17):1822–1828
  11. Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the Chronic Care Model in the new millennium. Health Affairs. 2009;28(1):75–85
  12. Commonwealth Department of Health and Ageing. (2008). Ageing and aged care in Australia. Canberra; Commonwealth of Australia.
  13. Davidson PM, Elliot D. Managing approaches to nursing care delivery. In:  Chang E,  Daly J editor. Transitions in nursing. Sydney: Churchill Livington Elsevier; 2001;
  14. Davidson PM, Elliot D. Managing approaches to nursing care delivery. In:  Chang E,  Daly J editor. Transitions in nursing. 2nd ed.. Sydney: Churchill livington Elsevier; 2008;
  15. Davidson PM, Halcomb E, Hickman L, Phillips J, Graham B. Beyond the rhetoric: What do we mean by a ‘model of care’?. Australian Journal of Advanced Nursing. 2006;23(3):47–55
  16. Dobrow M, Goel V, Upshur R. Evidence-based health policy: Context and utilisation. Social Science and Medicine. 2004;58:207–217
  17. Epping-Jordan JE, Pruitt SD, Bengoa R, Wagner EH. Improving the quality of health care for chronic conditions. Quality and Safety in Health Care. 2004;13(4):299–305
  18. Grbich C. Health in Australia: Sociological concepts and issues. Sydney: Prentice Hall Health; 1996;
  19. Hickman L, Newton P, Halcomb EJ, Chang E, Davidson PM. Best practice interventions to improve the management of older people in acute care settings: A literature review. Journal of Advanced Nursing. 2007;60(2):113–126
  20. Inouye SK. Delirium in older persons. New England Journal of Medicine. 2006;354(11):1157–1165
  21. Inouye SK, Bogardus ST, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine. 1999;340(9):669–676
  22. Inouye SK, Bogardus STJ, Baker TL, Leo-Summers L. The hospital elder life program: A model of care to prevent cognitive and functional decline in older hospitalized patients. Journal of the American Geriatrics Society. 2000;48:1697–1706
  23. McCormack B, McCance T. Development of a framework for person-centred nursing. Journal of Advanced Nursing. 2006;56(5):472–479
  24. McMurray A. Community health and wellness: A socio-ecological approach. 3rd ed.. Sydney: Mosby Elsevier; 2007;
  25. National Health and Hospitals Reform Commission. (2009). A healthier future for all Australians – Final report of the National Health and Hospitals Reform Commission. Canberra: National Health and Medical Research Council.
  26. NSW Health. (2003). NSW Chronic and Complex Care Programs: Progress report for program activity to 30 September 2002. Sydney: NSW Health.
  27. NSW Health. (2004). Strengthening capacity for chronic care in the NSW Health System, report on phase one. Executive summary. Chronic care program. Action plan for health. Sydney: NSW Department of Health.
  28. NSW Health. (2006). First report on the models of care project February–April 2005. Sydney: NSW Department of Health.
  29. Nutbeam D. How does evidence influence public health policy? Tackling health inequalities in England. Health Promotion Journal of Australia. 2003;14(3):154–158
  30. Profetto-McGrath J, Smith KB, Hugo K, Taylor M, El-Hajj H. Clinical nurse specialists use of evidence in practice: A pilot study. Worldviews on Evidence-based Nursing. 2007;4(2):86–96
  31. Rechel B, Doyle Y, Grundy E, McKee M. How can health systems respond to population ageing?. Copenhagen: World Health Organization; 2009;
  32. Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL, et al. State of the science: Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association. Circulation. 2009;120(12):1141–1163
  33. Rolley JX, Davidson PM, Dennison CR, Ong A, Everett B, Salamonson Y. Medication adherence self-report instruments: Implications for practice and research. Journal of Cardiovascular Nursing. 2008;23(6):497–505
  34. Saarmann L, Daugherty J, Riegel B. Patient teaching to promote behavioral change. Nursing Outlook. 2000;48(6):281–287
  35. Stewart M, Brown J, Donner A, Mc Whinney I, Oates J, Weston W, et al. The impact of patient-centered care on outcomes. The Journal of Family Practice. 2000;49(9):796–804
  36. Trickett EJ. Toward a distinctive community psychology: An ecological metaphor for the conduct of community research and the nature of training. American Journal of Community Psychology. 1984;12(3):261–279
  37. Wagner E. What will it take to improve care for chronic illness?. Effective Clinical Practice. 1998;1:2–4
  38. Wagner E, Austin B, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: Translating evidence into action. Health Affairs. 2001;20(6):64–78
  39. Wagner EH, Austin BT, Von Korff M. Improving outcomes in chronic illness. In:  Fox PD,  Fama T editor. Managed care and chronic illness: Challenges and opportunities.. Gaithersburg, MD: Aspen; 1996;
  40. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Millbank Quarterly. 1996;74(4):511–543
  41. Walt W. Health policy: An introduction to process and power. London: Zed Books; 2002;
  42. Whittmore R. Consequences of “Not knowing the patient”. Clinical Nurse Specialist. 2000;14:75–81
  43. World Health Organisation. (2001a). Global movement for active ageing – background information. Retrieved April 14, 2003, from www.who.int/hpr/globalmovement/background.htm.
  44. World Health Organisation. (2001b). Department of Noncommunicable Disease Prevention and Health Promotion (NPH) Global Movement for Active Ageing – Initiatives. Retrieved April 14, 2003, from www.who.int/hrp/globalmovement/initiatives.htm.
  45. World Health Organization. (2002). Building blocks for action Innovative Care for Chronic Conditions: Global report. 2002.

PII: S1322-7696(10)00035-1

doi: 10.1016/j.colegn.2010.05.004

Collegian
Volume 17, Issue 2 , Pages 63-69 , July 2010

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