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5 Cards in this Set

  • Front
  • Back

Acute care model

Disease centred


Doctor centred


Focus on individual


Secondary care emphasis


Reactive, symptom driven


Episodic care


Cure focussed


Single setting


1:1 contact through visit by patient


Diagnostic info provided

Chronic Care Model

Person centred


Team centred


Population health approach


Primary care emphasis


Proactive, planned intervention


Ongoing care


Prevention/management focus


Community setting, primary and secondary care


1:1 or group contact


Support for self management

Wagner's Chronic Care model

Community


Health system


Self management support


Delivery system design


Decision support


Clinical information systems



Informed, activated patient


Prepared, proactive practice team


--> productive interactions, functional and clinical outcomes

Challenges of chronic care model

Individuals must take ownership


Rising cost of health care and people needing access


Inequities between indig and gen pop


Ethical issues - lifestyle choices


Mismatch of needs and system


Provision of culturally competent care

Nursing role

Holistic care


Whole of life approach


Person centred and inclusive of family


Culturally sensitive


Care coordination and self management support