Integrated Care model: Transition from acute to chronic care

Abstract

Objective: Description and discussion dimensions of Integrated Care Model. Methods: A descriptive study is done that describe a technological innovation, intervention strategies for professional performance. Results: Integrated Care Model (ICM) has two main categories include individual and Group-and disease-specific Model. First, is used for risky patients or with comorbidities. In second category; Chronic Care Model (CCM) is common form of Integrated Care Model to improve resultants in the patients with chronic condition, to move from acute care to integrate, regular, long-lasting, preventative and community-based nursing. Final considerations: It is important to consider patient as an active member of the treatment team. It seems to be essential to monitor performance of care system. On the other hand, offer multidisciplinary care leads to present desirable care, tailored to the specific needs of patients regarding safety, patient-centered care and their culture.

Evaluation of a community-based integrated care model (CIE) for frail older people in rural Foshan, China: study protocol for a stepped-wedge cluster randomized controlled trial {1}

“…The CIE model is guided by the evidence-based Chronic Care Model (CCM) and the multidisciplinary integrated care model through a restorative or enabling approach specified for the community-based eldercare system in China [ 18 , 19 ]. Minkman et al theorized how to implement integrated care and identified two most fundamental principles: engaging and empowering people and communities, population-oriented, and focusing on promoting health [ 20 ].…”

Capacidade institucional para o cuidado às pessoas com doenças crônicas na atenção primária à saúde

“…Nesse sentido, as evidências mais recentes de experiências bem-sucedidas de gestão do cuidado às pessoas com DCNT estão direcionadas para mudança deste modelo reativo, centrado na queixa/doença, para um modelo proativo, multidisciplinar, centrado na pessoa e no seu contexto sociocultural. Tratase do Modelo de Cuidados Crônicos (MCC), que propõe uma nova gestão da condição de saúde com intuito de obter resultados clínicos mais satisfatórios, monitoramento contínuo, desenvolvimento da corresponsabilização da pessoa sobre sua saúde e envolvimento da comunidade (5,6) .…”