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Burden of Ischemic Heart Disease In Australia
Refer to the uploaded file Follow the assessment step by step as it is in the outlines. you should include at least 20 references from the 20 papers i have provided it ,( Use Help write my thesis – APA referencing style and Times new Roman writing 12 ) The word limit for this assessment .please make sure to cite original references
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Evidence On The Chronic Care Model In The New Millennium
Coleman, Katie;Austin, Brian T;Brach, Cindy;Wagner, Edward H
Health Afiairs; Jan/Feb 2009; 28, l; ProQuest Central
pg. 75
CHRONIC CARE MODEL
Evidence On The Chronic Care
Model In The New Millennium
Thus far, the evidence on the Chronic Care Model is encouraging, but
we need better tools to help practices improve their systems.
by Katie Coleman, Brian T. Austin, Cindy Brach, and Edward H. Wagner
ABSTRACT: Developed more than a decade ago, the Chronic Care Model (CCM) is a widely
adopted approach to improving ambulatory care that has guided clinical quality initiatives
in the United States and around the world. We examine the evidence of the CCMs effective
ness by reviewing articles published since 2000 that used one of five key CCM papers as a
reference. Accumulated evidence appears to support the CCM as an integrated framework
to guide practice redesign. Although work remains to be done in areas such as cost-
effectiveness, these studies suggest that redesigning care using the CCM leads to im-
proved patient care and better health outcomes. [Health Affairs 28, no. 1 (2009): 75-85;
10.1377/hlthaff.28.1.75]
HRONIC DISEASES ARE NOW THE MAJOR CAUSE ofdeath and disability
worldwide, responsible for 59 percent of deaths and 46 percent of the
global burden of disease.1 Despite advances in the effectiveness of treat,
ment, research shows that patients frequently do not get the care they want or
need.2 The Chronic Care Model (CCM) is designed to help practices improve pa
tient health outcomes by changing the routine delivery of ambulatory care
through six interrelated system changes meant to make patientcentered, evi
dencebased care easier to accomplish. The aim of the CCM is to transform the
daily care for patients with chronic illnesses from acute and reactive to proactive,
planned, and population/based. It is designed to accomplish these goals through a
combination of effective team care and planned interactions; self/management
support bolstered by more effective use of community resources; integrated deci
sion support; and patient registries and other supportive information technology
(IT). These elements are designed to work together to strengthen the provider
patient relationship and improve health outcomes.
In this paper we review evidence published since 2000 about practices ability
Katie Coleman ([email protected]) is a research associate at the MacColl Ins titute for Healthcare Innovation,
Group Health Center for Health Studies, in Seattle, Washington Brian Austin is associate director of the MacColl
Institute. Cindy Brach is a senior health policy researcher in the Center for Delivery, Organization, and Markets,
Agency for Healthcare Research and Quality, in Rockville, Maryland Edward Wagner is director of the MacColl
Institute and a senior investigator at the Group Health Center for Health Studies.
HEALTH AFFAIRS ~ Volume 28, Number I 75
Do1 lO.l377/hlthaff.28.l.75 02009 Project HOPE-The PeoplevtoPeople Health Foundation, Inc.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
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