TY - JOUR
KW - Chronic Disease/therapy
KW - Chronic Illness
KW - Community Networks
KW - Community Services
KW - Health Services for the Aged
KW - Humans
KW - nurse care coordination
KW - Patient-Centered Care/methods
KW - Pilot Projects
KW - Primary Health Care
KW - self-management support
AU - C. E. Vanderboom
AU - D. E. Holland
AU - C. M. Lohse
AU - P. V. Targonski
AU - E. A. Madigan
A1 - 
AB - Health care reform focuses on primary care and development of Health Care Homes to improve patient-centered chronic illness care. This pilot study evaluated a community care team intervention that linked chronically ill older patients, support persons, and nurse care coordinators from a Health Care Home with community resources using an adaptation of the Wraparound process. A pragmatic clinical trial design was used. Patient-centered chronic illness care; physical, mental, and social health; service use; and study feasibility were evaluated. Differences between groups were compared using two-sample t, Wilcoxon rank sum, chi-square, or Fisher's exact tests. At 3 months, the intervention group reported higher patient-centered chronic illness care (mean total Patient Assessment of Chronic Illness Care change scores were 0.39 for the intervention group and -0.11 for the control group, p = .03). Results indicate that the integrated community care team intervention is a promising strategy to support patient-centered chronic illness care.
BT - Western journal of nursing research
C5 - Medical Home; Education & Workforce; Healthcare Disparities
CP - 1
CY - United States
DO - 10.1177/0193945913490841
IS - 1
JF - Western journal of nursing research
N2 - Health care reform focuses on primary care and development of Health Care Homes to improve patient-centered chronic illness care. This pilot study evaluated a community care team intervention that linked chronically ill older patients, support persons, and nurse care coordinators from a Health Care Home with community resources using an adaptation of the Wraparound process. A pragmatic clinical trial design was used. Patient-centered chronic illness care; physical, mental, and social health; service use; and study feasibility were evaluated. Differences between groups were compared using two-sample t, Wilcoxon rank sum, chi-square, or Fisher's exact tests. At 3 months, the intervention group reported higher patient-centered chronic illness care (mean total Patient Assessment of Chronic Illness Care change scores were 0.39 for the intervention group and -0.11 for the control group, p = .03). Results indicate that the integrated community care team intervention is a promising strategy to support patient-centered chronic illness care.
PP - United States
PY - 2014
SN - 1552-8456; 0193-9459
SP - 47
EP - 65
EP - 
T1 - Enhancing patient-centered care: pilot study results of a community care team intervention
T2 - Western journal of nursing research
TI - Enhancing patient-centered care: pilot study results of a community care team intervention
U1 - Medical Home; Education & Workforce; Healthcare Disparities
U2 - 23735711
U3 - 10.1177/0193945913490841
VL - 36
VO - 1552-8456; 0193-9459
Y1 - 2014
ER -