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Patients report positive impacts of collaborative care
John H Wasson1, Deborah J Johnson, Regina Benjamin
1Dartmouth Medical School, Hanover, NH 03755, USA. john.h.wasson@dartmouth.edu
The Journal of Ambulatory Care Management
|June 22, 2006
Summary
Good Collaborative Care, a partnership between patients and healthcare professionals, significantly improves chronic disease management. This approach enhances health outcomes, including better control of blood pressure, blood glucose, and cholesterol levels, while mitigating economic impacts.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Chronic Disease Management
Background:
- Collaborative Care involves a partnership between healthcare professionals and patients for managing health conditions.
- Effective management of chronic diseases is crucial for patient well-being and healthcare system efficiency.
Purpose of the Study:
- To examine the association between Collaborative Care and measures of treatment effect, disease control, prevention, and economic impacts in adult Americans with chronic diseases.
- To assess the prevalence of different levels of Collaborative Care experienced by patients.
Main Methods:
- A large-scale survey of 24,609 adult Americans (aged 19-69) with common chronic diseases or significant dysfunction was conducted using an Internet-based assessment.
- Data were adjusted for demographic characteristics, burden of illness, health behaviors, and overall healthcare quality.
Main Results:
- Only 21% of respondents experienced good Collaborative Care, while 36% had fair and 43% had poor Collaborative Care.
- Good Collaborative Care was consistently associated with better control of blood pressure, blood glucose, and serum cholesterol levels.
- Improved treatment effectiveness for pain and emotional problems, enhanced preventive actions, and mitigated adverse economic impacts were observed with good Collaborative Care.
Conclusions:
- Good Collaborative Care is significantly associated with improved clinical outcomes and reduced economic burden in patients with chronic diseases.
- The findings underscore the importance of fostering strong patient-provider partnerships for effective chronic disease management.
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