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Published Online: 5 July 2004

Interventions to Improve Chronic Illness Care: Evaluating Their Effectiveness

Publication: Disease Management
Volume 6, Issue Number 2


Three overlapping initiatives can be found in the effort to improve the management of chronic illness: the report card initiative, the disease management industry, and "Improving Chronic Illness Care." The third of these initiatives proposes the Chronic Care Model to assist provider organizations in chronic care improvement. The Chronic Care Model is made up of six major elements: community resources, the health care system surrounding the provider organization, patient self-management, decision support, delivery system redesign, and clinical information systems. Within these elements are a number of components, for example, clinical practice guidelines, reminder prompts, disease registries, provider feedback systems, primary care teams, planned chronic care visits, and case management. A literature review is provided to summarize the effectiveness of these Chronic Care Model components.

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cover image Disease Management
Disease Management
Volume 6Issue Number 2June 2003
Pages: 63 - 71
PubMed: 14577900


Published online: 5 July 2004
Published in print: June 2003


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Thomas Bodenheimer, MD
Department of Family and Community Medicine, University of California at San Francisco and San Francisco General Hospital, San Francisco, California. [email protected]

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