The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure.

ABSTRACT:

Background

Despite applications of models of care and organizational or system-level interventions to improve patient outcomes for chronic disease, consistent improvements have not been achieved. This may reflect a mismatch between the interventions and the nature of the settings in which they are attempted. The application of complex adaptive systems (CAS) framework to understand clinical systems and inform efforts to improve them may lead to more successful interventions. We performed a systematic review of interventions to improve outcomes of patients with congestive heart failure (CHF) to examine whether interventions consistent with CAS are more likely to be effective. We then examine differences between interventions that are most effective for improving outcomes for patients

SUBMITTER: Leykum LK 

PROVIDER: S-EPMC2936445 | biostudies-literature | 2010 Aug

REPOSITORIES: biostudies-literature