Improving Chronic Illness Care: Translating Evidence Into Action

The growing number of persons suffering from major chronic illnesses face many obstacles in coping with their condition, not least of which is medical care that often does not meet their needs for effective clinical management, psychological support, and information. The primary reason for this may...

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Bibliographic Details
Published in:Health Affairs 2001-11, Vol.20 (6), p.64-78
Main Authors: Wagner, Edward H, Austin, Brian T, Davis, Connie, Hindmarsh, Mike, Schaefer, Judith, Bonomi, Amy
Format: Article
Language:English
Subjects:
Chronic Disease - therapy
Chronic illnesses
Collaboration
Diabetes
Disease management
Evidence-Based Medicine
Health care
Health care delivery
Health Services Needs and Demand
Humans
Hypertension
Managerial skills
Patients
Pilots
Quality Assurance, Health Care
Quality improvement
Self Care
Studies
Subacute care
Total quality
United States
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Summary:The growing number of persons suffering from major chronic illnesses face many obstacles in coping with their condition, not least of which is medical care that often does not meet their needs for effective clinical management, psychological support, and information. The primary reason for this may be the mismatch between their needs and care delivery systems largely designed for acute illness. Evidence of effective system changes that improve chronic care is mounting. We have tried to summarize this evidence in the Chronic Care Model (CCM) to guide quality improvement. In this paper we describe the CCM, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.20.6.64