title: Enhancing patient-centered care: pilot study results of a community care team intervention.
abstract: 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.
authors.affiliation: 1Mayo Clinic, Rochester, MN, USA.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Vanderboom
authors.forename: Diane E
authors.initials: DE
authors.lastname: Holland
authors.forename: Christine M
authors.initials: CM
authors.lastname: Lohse
authors.forename: Paul V
authors.initials: PV
authors.lastname: Targonski
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Madigan
mesh_terms: D002908:Chronic Disease / Q000628:therapy; D019058:Community Networks; D006299:Health Services for the Aged; D006801:Humans; D018802:Patient-Centered Care / Q000379:methods*; D010865:Pilot Projects
keywords: chronic illness; community services; nurse care coordination; primary health care; self-management support