Prise en charge des patients atteints de maladies chroniques. Concepts, évaluations et enseignements internationaux (notice n° 2231298)
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| fixed length control field | 04213cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260517000323.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Brunn, Matthias |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prise en charge des patients atteints de maladies chroniques. Concepts, évaluations et enseignements internationaux |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2013.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 70 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le nombre croissant de personnes atteintes de maladies chroniques représente un défi majeur pour les systèmes de santé en termes de morbidité, de mortalité, de qualité de la prise en charge et d’impact financier. Afin de répondre à ce défi, plusieurs concepts organisationnels pour une prise en charge structurée des maladies chroniques ont été développés. Nous avons mené une revue de la littérature afin d’identifier les concepts-clés, les résultats et les facteurs de succès potentiels des dispositifs mis en place.Quatre concepts principaux, tous rattachés au concept plus large des soins intégrés, ont été identifiés : le case management, le disease management, le chronic care model et le population management. Les travaux d’évaluation disponibles indiquent que les résultats escomptés en termes de gains de santé et de réduction des coûts ne sont que partiellement atteints mais qu’il existe bien une amélioration de la prise en charge. Plusieurs facteurs nécessaires au succès des dispositifs mis en œuvre pour améliorer la prise en charge de maladies chroniques sont identifiés : l’intégration de l’éducation thérapeutique du patient, la mise en place d’un système de repérage des patients, le retour d’information vers les professionnels sur leurs pratiques, la performance des soins primaires et l’existence d’incitations financières adéquates.Ainsi, une meilleure prise en charge des patients atteints de maladies chroniques requiert un ensemble d’éléments interdépendants. Il faut cependant noter que les dispositifs mis en place n’induisent le plus souvent pas d’économies immédiates mais représentent un investissement pour l’avenir. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Care for patients with chronic illness – concepts, assessment and foreign experiencesThe growing number of people with chronic diseases is a major challenge for health care systems in terms of morbidity, mortality, quality of care and financial impact. A range of organizational concepts for structured chronic disease care have been developed to address this challenge. The purpose of this literature review is to identify the key concepts, results and success factors of recent initiatives in this area.Four main concepts related to the broader notion of integrated care were identified : case management, disease management, the chronic care model and population management. The available evidence suggests that the expected results in terms of health gains and cost reductions have only been partially achieved, but that the quality of care has improved. The study identified several critical success factors for initiatives aimed at improving chronic care : the integration of patient education, the implementation of a patient identification system, provider feedback, primary care performance and financial incentives.Improved care for patients with chronic illness requires a range of interdependent measures. However, it is important to note that initiatives in this area are not usually associated with short-term savings, but represent an investment for the future. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | case management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chronic care model |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | disease management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | évaluation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | population management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prise en charge de maladies chroniques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soins intégrés |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | case management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chronic care model |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chronic disease management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | disease management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | evaluation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | integrated care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | population management |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chevreul, Karine |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 25 | 1 | 2013-03-01 | p. 87-94 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2013-1-page-87?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2013-1-page-87?lang=fr&redirect-ssocas=7080</a> |
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