The Chronic Care Model and its implications for Specialized Outpatient Care

El Modelo de Atención de Condiciones Crónicas y sus implicaciones para la Atención Especializada Ambulatoria

ABSTRACT

Objective:

to assess the Chronic Care Model implementation in Specialized Outpatient Care and its repercussions for health care.

Methods:

qualitative evaluative research, conducted by the Chronic Care Model. We used observation techniques, document analysis and interviews with 21 health professionals from specialized care. Analysis was conducted by triangulation, with the aid of MAXQDA software for initial and focused coding. All ethical aspects were respected.

Results:

professionals recognized that the model reorganized service care and administrative practices, presenting positive repercussions for the health of people assisted. The absence of continuing education for service professionals compromised the complete model implementation.

Final considerations:

the implementation, even if partial, of the model brings contributions to service improvement. The weaknesses that are still present are compatible with professionals’ difficulty in distancing themselves from the biomedical model.

Descriptors:
Health Evaluation; Chronic Disease; Secondary Care; Ambulatory Care; Unified Health System