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Implementation of a care coordination system for chronic diseases

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Affiliated Author(s)
이중정배상근
Alternative Author(s)
Lee, Jung JeungBae, Sang Geun
Journal Title
Yeungnam University Journal of Medicine
ISSN
2384-0293
Issued Date
2019
Keyword
Chronic diseasePatient care managementReferral and consultationTransitional care
Abstract
The number of people with chronic diseases has been increasing steadily but the indicators for the management of chronic diseases have not improved significantly. To improve the existing chronic disease management system, a new policy will be introduced, which includes the establishment of care plans for hypertension and diabetes patients by primary care physicians and the provision of care coordination services based on these plans. Care coordination refers to a series of activities to assist patients and their families and it has been known to be effective in reducing medical costs and avoiding the unnecessary use of the hospital system by individuals. To offer well-coordinated and high-quality care services, it is necessary to develop a service quality assurance plan, track and manage patients, provide patient support, agree on patient referral and transition, and develop an effective information system. Local governance should be established for chronic disease management, and long-term plans and continuous quality improvement are necessary.
Department
Dept. of Preventive Medicine (예방의학)
Publisher
School of Medicine (의과대학)
Citation
Yeungnam University Journal of Medicine, Vol.36(1) : 1-7, 2019
Type
Article
DOI
10.12701/yujm.2019.00073
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/42130
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학)
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