Improving primary care for patients with chronic illness: the chronic care model, Part 2
- PMID: 12377092
- DOI: 10.1001/jama.288.15.1909
Improving primary care for patients with chronic illness: the chronic care model, Part 2
Abstract
This article reviews research evidence showing to what extent the chronic care model can improve the management of chronic conditions (using diabetes as an example) and reduce health care costs. Thirty-two of 39 studies found that interventions based on chronic care model components improved at least 1 process or outcome measure for diabetic patients. Regarding whether chronic care model interventions can reduce costs, 18 of 27 studies concerned with 3 examples of chronic conditions (congestive heart failure, asthma, and diabetes) demonstrated reduced health care costs or lower use of health care services. Even though the chronic care model has the potential to improve care and reduce costs, several obstacles hinder its widespread adoption.
Comment in
-
Self-management of chronic disease.JAMA. 2003 Mar 26;289(12):1508-9; author reply 1509. doi: 10.1001/jama.289.12.1508-b. JAMA. 2003. PMID: 12672759 No abstract available.
-
Advanced-access scheduling in primary care.JAMA. 2003 Jul 16;290(3):333; author reply 333-4. doi: 10.1001/jama.290.3.333-a. JAMA. 2003. PMID: 12865372 No abstract available.
Similar articles
-
Incentive-Based Primary Care: Cost and Utilization Analysis.Perm J. 2015 Fall;19(4):46-56. doi: 10.7812/TPP/15-045. Epub 2015 Aug 5. Perm J. 2015. PMID: 26263389 Free PMC article.
-
Patient care. Disease dilemma. Can a case be made for programs that improve health, but may not reduce costs?Hosp Health Netw. 2005 Apr;79(4):24, 26. Hosp Health Netw. 2005. PMID: 15916338 No abstract available.
-
Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse.Gen Hosp Psychiatry. 2001 May-Jun;23(3):138-44. doi: 10.1016/s0163-8343(01)00136-0. Gen Hosp Psychiatry. 2001. PMID: 11427246 Review.
-
Disease management programs: benchmarking costs, savings, ROI.Healthc Benchmarks. 1998 Aug;5(8):117-9. Healthc Benchmarks. 1998. PMID: 10181998
-
Economic Evaluations of Multicomponent Disease Management Programs with Markov Models: A Systematic Review.Value Health. 2016 Dec;19(8):1039-1054. doi: 10.1016/j.jval.2016.07.004. Epub 2016 Sep 16. Value Health. 2016. PMID: 27987631 Review.
Cited by
-
Healthcare improvement as planned system change or complex responsive processes? a longitudinal case study in general practice.BMC Fam Pract. 2013 Apr 23;14:51. doi: 10.1186/1471-2296-14-51. BMC Fam Pract. 2013. PMID: 23617833 Free PMC article.
-
Treatment for substance use disorder: opportunities and challenges under the affordable care act.Soc Work Public Health. 2013;28(3-4):165-74. doi: 10.1080/19371918.2013.758975. Soc Work Public Health. 2013. PMID: 23731411 Free PMC article.
-
The eHealth Enhanced Chronic Care Model: a theory derivation approach.J Med Internet Res. 2015 Apr 1;17(4):e86. doi: 10.2196/jmir.4067. J Med Internet Res. 2015. PMID: 25842005 Free PMC article.
-
Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus.Community Ment Health J. 2015 Nov;51(8):978-86. doi: 10.1007/s10597-015-9855-7. Epub 2015 Mar 12. Community Ment Health J. 2015. PMID: 25761720 Free PMC article.
-
Nurse case management and general practice: implications for GP consortia.Br J Gen Pract. 2011 Oct;61(591):e658-65. doi: 10.3399/bjgp11X601370. Br J Gen Pract. 2011. PMID: 22152848 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
