Organizing care for patients with chronic illness

  • Wagner E
  • Austin B
  • Von-Korff M
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Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems. The medical literature suggests strategies to improve outcomes in these patients. Effective interventions tend to fall into one of five areas: the use of evidence-based, planned care; reorganization of practice systems and provider roles; improved patient self-management support; increased access to expertise; and greater availability of clinical information. The challenge is to organize these components into an integrated system of chronic illness care. Whether this can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care remains unanswered.

Author-supplied keywords

  • *Chronic Disease therapy
  • *Models, Organizational
  • *Patient Centered Care
  • Continuity of Patient Care
  • Delivery Of Health Care
  • Disease Management
  • Health Services Research
  • Human
  • Patient Education
  • Primary Health Care organization and administratio
  • Public Health
  • Randomized Controlled Trials
  • Social Medicine
  • United States
  • organization and administration
  • therapy

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  • E H Wagner

  • B T Austin

  • M Von-Korff

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