Skip Navigation LinksHome > April 2008 - Volume 26 - Issue 4 > Home‐Based Chronic Care: An Expanded Integrative Model for H...
Home Healthcare Nurse:
doi: 10.1097/01.NHH.0000316700.76891.95
Home-Based Chronic Care

Home‐Based Chronic Care: An Expanded Integrative Model for Home Health Professionals

Suter, Paula RN, MA; Hennessey, Beth RN, MSN; Harrison, Gregory BMin; Fagan, Martha CPA, MBA; Norman, Barbara RN, BSN; Suter, W. Newton PhD

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Abstract

The Chronic Care Model (CCM) developed by Wagner (1998) is an influential and accepted guide for the care of patients with chronic disease. Wagner acknowledges a current healthcare focus on acute care needs that often circumvents chronic care coordination. He identifies the need for a “division of labor” to assist the primary care physician with this neglected function. This article posits that the role of chronic care coordination assistance and disease management fits within the purview of home healthcare and should be central to home health chronic care delivery. An expanded Home-Based Chronic Care Model (HBCCM) is described that builds on Wagner's model and integrates salient theories from fields beyond medicine. The expanded model maximizes the potential for disease self-management success and is intended to provide a foundation for home health's integral role in chronic disease management.

© 2008 Lippincott Williams & Wilkins, Inc.

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