Giving support to disease guidelines. A commentary.
Whether or not the co-ordinated care models are sustainable in the longer term will depend on ongoing funding and on overcoming some of the challenges described above. The use of a complete and literal model of care assessment and care planning for each individual may not be sustainable for all trials. They will require streamlining so that clients with minimal health care needs are not subjected to the same comprehensive assessment processes as those with more complex needs. Care co-ordination may only have a modest long-term effect, if operating problems are not overcome and if the model itself is not fully integrated into clinical practices. For this to occur, health centre staff need to drive the reform process and need to be supported during this process, otherwise the day to day clinical demands will take precedence over care planning.
Pilla
John
J
D001315:Australia; D002908:Chronic Disease; D002986:Clinical Trials as Topic; D006303:Health Services, Indigenous / Q000592:standards*; D006801:Humans; D010348:Patient Care Team; D017410:Practice Guidelines as Topic