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Interventions to improve chronic illness care: evaluating their effectiveness.

Thomas Bodenheimer1

  • 1Department of Family and Community Medicine, University of California at San Francisco, Building 80-83, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA. Tbodenheimer@medsch.ucsf.edu

Disease Management : DM
|October 28, 2003
PubMed
Summary

Improving chronic illness care involves multiple strategies, including the Chronic Care Model. This model enhances patient self-management and healthcare delivery through key components like clinical guidelines and team-based care.

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Area of Science:

  • Health Services Research
  • Chronic Disease Management
  • Healthcare Quality Improvement

Background:

  • Chronic illnesses require effective management strategies to improve patient outcomes and reduce healthcare burdens.
  • Multiple initiatives aim to enhance chronic illness care, including the "Improving Chronic Illness Care" program.
  • The Chronic Care Model (CCM) is a framework designed to guide healthcare organizations in improving chronic care delivery.

Purpose of the Study:

  • To outline the structure and components of the Chronic Care Model.
  • To review the existing literature on the effectiveness of CCM components in improving chronic illness management.
  • To provide a summary of evidence supporting the implementation of the CCM.

Main Methods:

  • A literature review was conducted to identify studies evaluating the effectiveness of CCM components.

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  • Key components of the CCM, such as patient self-management support, decision support, and delivery system redesign, were examined.
  • Evidence synthesis focused on the impact of these components on patient outcomes and healthcare processes.

    • Main Results:

    • The literature review identified various components of the CCM that have demonstrated effectiveness.
    • Components like clinical practice guidelines, reminder systems, and provider feedback were found to positively impact care processes.
    • Evidence supports the role of planned chronic care visits and case management in improving patient self-management and outcomes.

    Conclusions:

    • The Chronic Care Model provides a comprehensive framework for enhancing chronic illness management.
    • Implementing CCM components can lead to significant improvements in the quality and effectiveness of chronic care.
    • Further research and implementation efforts are warranted to optimize the application of the CCM in diverse healthcare settings.