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《Chinese General Practice》 2011-10
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The Happy Life Club~(TM)(4):Exploring a patient-centred approach of chronic disease management

Colette Browning,Shane Thomas,YANG Hui,et al.School of Primary Health Care,Faculty of Medicine,Nursing and Health Sciences,Monash University,Victoria 3168,Australia  
The fourth article of the Happy Life Club series explores the patient-centred approach as spirit of the chronic disease management initiative.Patient-centred healthcare builds on biopsychosocial model that aims on responding patient′s needs both of physical and mental health and eventually improving quality of life;understands patient as a whole person;collaborating between supply side and demand side through changing patient-doctor relationship from egalitarian to guiding approach;and uses psychotherapeutic skills as essential for personalised service and effective health outcome.Patient-centeredness is spirit of the Happy Life Club that adding motivational interviewing into routine clinical diabetes management and promoting improvement of quality of life through assisting change behaviours.Physical,mental and social health is considered during patient assessment,intervention implementation and evaluation.Health coach and participant are encouraged to share responsibility,jointly own diabetes management and involve in quality improving activity.Trained health coach applies processes of behaviour change in individualized coaching service.In addition,health coach is encouraged jointly use medical and psychological skills in routine service.The final part of the article is to explore implications of the Happy Life Club spirit on regional community health and general practice development.
【CateGory Index】: R197.3
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