OBJECTIVE To support decision making on how to best redesign chronic care by studying the heterogeneity in effectiveness across chronic care management evaluations for heart failure. DATA SOURCES Reviews and primary studies that evaluated chronic care management interventions. STUDY DESIGN A systematic review including meta-regression analyses to investigate three potential sources of heter...

BACKGROUND AND OBJECTIVES A number of educators and recent medical school graduates have suggested a need to expand predoctoral training in chronic illness care. We developed a workshop to enhance first-year students' self-awareness regarding attitudes toward chronic illness care and to help them communicate effectively around patient self-care. METHODS Students participated in a two-part wor...

Objective. Chronic pain is one of the most frequent complaints of patients in primary care, yet both patients and providers report low satisfaction with chronic pain care. This study was designed to explore the views held by a diverse sample of patients with chronic pain complaints about their care experiences to identify ways to improve care. Design. Qualitative analysis of 17 patient focus gr...

BACKGROUND The oral anticoagulant therapy - provided to prevent thrombosis - is known to be associated with substantial avoidable hospitalization. Improving the quality of the oral anticoagulant therapy could avoid drug related hospitalizations. Therefore, this study compared the patient outcomes between Dutch anticoagulant clinic (AC) regions taking the variation in chronic care management int...

The COVID-19 pandemic has illuminated multiple challenges within the health care system and is unique to those living with chronic conditions. Recent advances in digital technologies (eHealth) present opportunities improve quality of care, self-management, decision-making support reduce treatment burden risk condition management burnout. There are limited available eHealth models that can adequ...

STUDY OBJECTIVE To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medication. SETTING General populations in two Swedish primary health care (PHC) ...

BACKGROUND Dental care is the most common unmet health care need for children with chronic conditions. However, anecdotal evidence suggests that not all children with chronic conditions encounter difficulties accessing dental care. The goals of this study are to evaluate dental care use for Medicaid-enrolled children with chronic conditions and to identify the subgroups of children with chronic...

A Resource from Improving Chronic Illness Care This information is current as of February 2007. Does The Chronic Care Model Work? CDROM www.improvingchroniccare.org Slide 1 In this discussion of the Chronic Care Model (CCM) chronic illness is defined very broadly: any condition that requires ongoing activities and response from patients and their personal caregivers, as well as a response from ...

BACKGROUND Chronic disease is a growing problem in the United States. More than 125 million Americans had at least 1 chronic care condition in 2000, and this number is expected to grow to 157 million by the year 2020.1 Some of the challenges associated with current chronic care management approaches can be addressed through the use of health information technology (IT) and health information ex...