title: An evaluation of audiology service improvement documentation in England using the chronic care model and content analysis.
abstract: OBJECTIVE
  Implementation of the chronic care model (CCM) is associated with improved outcomes for patients. It follows that any proposed policy or implementation plan that maps highly onto the CCM is more likely to lead to improved outcomes. The aim of this study was to compare long-term condition (LTC) policy documents and audiology quality standard documents with the CCM and to highlight the need for further research in service implementation and clinical outcome.
  
  
  METHODS
  We carried out a keyword-in-context content analysis of relevant documents.
  
  
  METHODS
  Documents relating to health department policy on LTCs, audiology service improvement initiatives in England and the CCM.
  
  
  RESULTS
  This analysis shows that current audiology implementation documents in England map poorly onto the CCM compared to health policy documents relating to the management of LTCs. The biggest discrepancies occur in self-management support, delivery system design, and decision support. These elements are supported by the best evidence of potential improvements in clinical outcome.
  
  
  CONCLUSIONS
  Our content analysis of audiology service quality improvement documents in England suggests they compare poorly to some elements of the CCM. We discuss the implications this might have for future research.
authors: * Department of Healthcare Management and Policy, University of Surrey , Guildford , UK.
authors: Fiona
authors: F
authors: Barker
authors: Simon
authors: S
authors: de Lusignan
authors: David
authors: D
authors: Baguley
authors: Jean-Pierre
authors: JP
authors: Gagne
mesh_terms: D001298:Audiology / Q000592:standards*; D002908:Chronic Disease; D003695:Delivery of Health Care / Q000592:standards*; D004739:England; D006302:Health Services Research; D034381:Hearing Loss / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D058996:Quality Improvement / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D013222:State Medicine / Q000592:standards*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Service improvement; chronic care model; content analysis; implementation; long term condition; policy