Improving Chronic Illness Care
Translating Evidence Into Action
Bibliographic Data
| ID | 23366284 |
|---|---|
| Authors | Edward H Wagner (0000-0001-5856-6021, Group Health Cooperative), Brian T Austin, Connie Davis, Connie L Davis (Improvement Service), Mike Hindmarsh (Improvement Service), Judith Schaefer, Amy E Bonomi (0000-0002-7230-0913), Amy Bonomi |
| Year | 2001 |
| Volume | 20 |
| Issue | 6 |
| Pages | 64-78 |
| Publication date | 2001-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Affairs (JOURNAL) |
| Journal identifiers | ISSN: 0278-2715 • E-ISSN: 2694-233X |
| Publisher | Health Affairs Publishing, LLC (PUBLISHER) |
| DOI | 10.1377/hlthaff.20.6.64 |
| PMID | 11816692 |
| OpenAlex | W2129303710 |
| Language | EN |
| Citations received | 222 |
| References cited | 14 |
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.
Action (physics) · Chronic care · Chronic disease · Coping (psychology) · Health care · Intensive care medicine · Management system · Operations management · Psychiatry · Quality management · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Nursing · Primary Care and Health Outcomes
Self-efficacy, health literacy, and chronic disease self-management among South–South adult migrants
Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder
Lessons from Community Mental Health to Drive Implementation in Health Care Systems for People with Long-Term Conditions
Prioritizing Community-Based Intervention Programs for Improving Treatment Compliance of Patients with Chronic Diseases
Development and implementation of an integrated chronic disease model in South Africa
Is Europe putting theory into practice? A study of the level of Self-Management Support in coordinated care approaches for chronically ill
Validation of an instrument to measure inter-organisational linkages in general practice
Project Integrate - a common methodological approach to understand integrated health care in Europe
Disease management
An in-depth analysis of theoretical frameworks for the study of care coordination
When people live with multiple chronic diseases
Quality of diabetes care in Dutch care groups
Measuring chronic care management experience of patients with diabetes
The potential for integrated care programmes to improve quality of care as assessed by patients with COPD
A framework for understanding outcomes of integrated care programs for the hospitalized elderly
Payment and economic evaluation of integrated care
Methodological Development of the Interactive Interlinks Framework for Long Term Care
The management of cardiovascular disease in the Netherlands
Integrated Care Models for Older Adults with Depression and Physical Comorbidity
Bridging knowledge to develop an action plan for integrated care for chronic diseases in Greece
Better experiences with quality of care predict well-being of patients with chronic obstructive pulmonary disease in the Netherlands
Service Integration Across Sectors in Europe
The importance of relational coordination for integrated care delivery to older patients in the hospital
Ten years of integrated care
Integrated healthcare for chronically ill. Reflections on the gap between science and practice and how to bridge the gap
Developing an active implementation model for a chronic disease management program
Adjustments to Service Organization in Specialized Addiction Services and Clinical Strategies for Better Meeting the Needs of People with a Persistent Substance Use Disorder
Proyecto Interconexiones
Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care
Expanding the Chronic Care Framework to Improve Diabetes Management
Does parental and adolescent participation in an e-health lifestyle modification intervention improve weight outcomes
Dynamic of online and off-line watching in self-management programs
CancerSPACE
Estrategias innovadoras para el cuidado y el autocuidado de personas con enfermedades crónicas en América Latina
Standardized assessment, information, and networking technologies (Saints)
Time to Evaluate Diabetes and Guide Health Research and Policy Innovation
Reducing emergency bed-days for older people? Network governance lessons from the 'Improving the Future for Older People' programme
The palliative care in assisted living (PCAL) pilot study
How Can We Increase Translation of Research into Practice? Types of Evidence Needed
Cosmopolitans in Australian and New Zealand Health Care Systems
Percepção de inovações na atenção às doenças/condições crônicas
Quality-Based Payment for Medical Groups and Individual Physicians
Adaptation and validation of the patient assessment of chronic illness care in the French context
What kind of life is this?’ Diabetes related notions of wellbeing among adults in eastern Uganda and implications for mitigating future chronic disease risk
Translation, adaptation and validation of the American short form Patient Activation Measure (PAM13) in a Danish version
Using confirmatory factor analysis and Rasch analysis to examine the dimensionality of The Patient Assessment of Care for Chronic Illness Care (Pacic)
The importance of productive patient–professional interaction for the well-being of chronically ill patients
Medical Vulnerability in America
Crossing Asymmetries in Multistakeholder Service Design in Integrated Care
Improving Primary Care for Patients With Chronic Illness
Improving the quality of health care for chronic conditions
Children With Medical Complexity
Defining and Measuring Integrated Patient Care
Community mental health care worldwide
Coproduction of healthcare service
Processes of Self‐Management in Chronic Illness
A Practical, Robust Implementation and Sustainability Model (PRISM) for Integrating Research Findings into Practice
Evidence On The Chronic Care Model In The New Millennium
Fostering implementation of health services research findings into practice
Quality of online information on type 2 diabetes
Upgrading physical activity counselling in primary care in the Netherlands
Development and psychometric evaluation of the CanSmart questionnaire to measure chronic disease self-management tasks
Management of chronic non-communicable diseases in Ghana
National Implementation of a Group-Based Program Promoting Patient Engagement and Peer Support in the Veterans Health Administration
Characteristics of Indigenous adults with poorly controlled diabetes in north Queensland
Perspectives of patients with type 1 or insulin-treated type 2 diabetes on self-monitoring of blood glucose
An Exploration of Intent to Use Telehealth at Home for Patients with Chronic Diseases
Understanding social forces involved in diabetes outcomes
Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Opencronic Study. Knowledge and Experiences of Spanish Patients and Carers About Chronic Disease
Developing dimensions for a multicomponent multidisciplinary approach to obesity management
Identifying barriers to chronic disease reporting in Chicago Public Schools
Learning self-care skills after spinal cord injury
It’s Like Juggling, Constantly Trying to Keep All Balls in the Air”
Engaging patients to recover life projectuality
A randomised controlled trial of a community-based healthy lifestyle program for overweight and obese adolescents
Smoking, physical activity and healthy aging in India
Life Events and Adaptive Coping Approaches to Self-Management From the Perspectives of Hospitalized Cardiovascular Patients
Adaptation and Psychometric Validation of the Empower-Sustain Usability Questionnaire (E-SUQ) among Patients with Metabolic Syndrome in Primary Care
Impact of a Web Program to Support the Mental Wellbeing of High School Students
Costly Hospital Readmissions and Complex Chronic Illness
Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries
Using Interagency Collaboration to Serve Older Adults With Chronic Care Needs
Satisfaction with Social Support Received from Social Relationships in Cases of Chronic Pain
Optimizing Health and Health Care Systems for Children with Special Health Care Needs Using the Life Course Perspective
A Nurse-Led Integrated Chronic Care E-Enhanced Atrial Fibrillation (Nice-AF) Clinic in the Community
Empowerment among adult patients with type 2 diabetes
Sociodemographic, personal, and disease-related determinants of referral to patient-reported outcome-based follow-up of remote outpatients
Analysis of factors influencing the frequency of primary care visits among diabetic patients in two provinces in China
Integrating Social Work Practice in Lymphedema Care
Rethinking Diabetes Communication
Education of clinical reasoning in patients with multimorbidity
Instruments for measuring self-management and self-care in geriatric patients – a scoping review
A health economic analysis of an integrated diabetes care program in China
“A reinstilled hope that they can change”
The relationship between health literacy and satisfaction with medical care in parents of children with chronic gastrointestinal diseases
Factors influencing patients' opt-in intention of exchanging health information
Planning for Implementation Success Using RE-AIM and CFIR Frameworks
Health outcomes, financial protection, and cost-effectiveness of community chronic disease management in China
Digital health readiness among rural hypertensive patients
| Unique citing works | 222 |
|---|---|
| Citations per year | 9,25 |
| Citation span | 2002 - 2026 (25) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 180 |