Changing The Chronic Care System To Meet People's Needs

Persons who are likely to be the heaviest users of medical and supportive care services--those with chronic illnesses, disabilities, and functional limitations--are often forced to navigate a system that requires them to perform most of the coordination functions themselves and is generally not orga...

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Bibliographic Details
Published in:Health Affairs 2001-11, Vol.20 (6), p.146-160
Main Authors: Anderson, Gerard, Knickman, James R
Format: Article
Language:English
Subjects:
Activities of daily living
Ambulatory care
Beneficiaries
Chronic Disease - economics
Chronic Disease - therapy
Chronic illnesses
Disabilities
Eligibility Determination
Health care delivery
Health care policy
Health insurance
Health Services Needs and Demand
Health services utilization
Humans
Information Systems
Insurance Coverage
Insurance, Disability - organization & administration
Insurance, Long-Term Care
Long term health care
Medicaid
Medicare
Nursing homes
Palliative care
Patient education
Physicians
Policy Making
Statistical analysis
Studies
United States
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Summary:Persons who are likely to be the heaviest users of medical and supportive care services--those with chronic illnesses, disabilities, and functional limitations--are often forced to navigate a system that requires them to perform most of the coordination functions themselves and is generally not organized around their needs. In 1996 an estimated 128 million Americans had at least one of these three conditions, and 9.5 million had all three. This paper examines the current programs designed to assist these persons and suggests changes in eligibility rules, coverage policies, and educational programs to provide a system more oriented to people's chronic care needs.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.20.6.146