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Improving Chronic Illness Care: Translating Evidence Into Action

Health AffairsPublished 1 November 2001
Edward H. Wagner, Brian T. Austin, Connie L. Davis, Mike Hindmarsh, Judith Schaefer, Amy E. Bonomi
Citations3,378
SJR quartileQ1
SJR score4.46
SNIP3.04

TL;DR

The CCM is described, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process are described, to guide quality improvement.

Abstract

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.

Keywords

MedicineHealth Professions