Does the Chronic Care Model Serve Also as a Template for Improving Prevention?

Milbank Quarterly

Volumn 79, Issue 4, 2001, Pages 579-612

  Glasgow, Russell E ^a   Tracy Orleans, C ^b   Wagner, Edward H ^b  

^a UNIVERSITY OF COLORADO   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

CHRONIC DISEASE; COMMUNITY CARE; DECISION SUPPORT SYSTEM; DISEASE MANAGEMENT; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CENTER; HUMAN; MAMMOGRAPHY; METHODOLOGY; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; PATIENT EDUCATION; PREVENTIVE MEDICINE; REVIEW; SELF CARE; SMOKING CESSATION; STANDARD; UNITED STATES;

CHRONIC DISEASE; COMMUNITY HEALTH CENTERS; COMMUNITY NETWORKS; DECISION SUPPORT SYSTEMS, CLINICAL; DELIVERY OF HEALTH CARE; DISEASE MANAGEMENT; HUMANS; MAMMOGRAPHY; MEDICALLY UNDERSERVED AREA; MODELS, ORGANIZATIONAL; PATIENT EDUCATION; PREVENTIVE MEDICINE; SELF CARE; SMOKING CESSATION; UNITED STATES;

EID: 0035748074     PISSN: 0887378X     EISSN: None     Source Type: Journal    
DOI: 10.1111/1468-0009.00222     Document Type: Article

References (104)

1. Agency for Health Care Policy and Research. 1996. Smoking Cessation Clinical Practice Guidelines. Rep. No. 96-0692. Washington, D.C.: U.S. Public Health Service.
2. Anderson, R.M., M.M. Funnell, P.M. Butler, M.S. Arnold, J.T. Fitzgerald, and C.C. Feste. 1995. Patient Empowerment: Results of a Randomized Controlled Trial. Diabetes Care 18:943-9.
3. Aubert, R.E., W.H. Herman, J. Waters, et al. 1998. Nurse Case Management to Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization: A Randomized, Controlled Trial. Annals of Internal Medicine 129:605-12.
4. Bonomi, A.E., R.E. Glasgow, and E.H. Wagner. 2002. Assessment of Chronic Illness Care: A Practical Tool for Quality Improvement. Health Services Research (forthcoming).
5. Calkins, E., C. Boult, H. Wagner, and J. Pacala. 1999. New Ways to Care for Older People: Building Systems Based on Evidence. New York: Springer.
6. Carney, P.A., A.J. Dietrich, A. Keller, J. Landgraf, and G.T. O'Connor. 1992. Tools, Teamwork, and Tenacity: An Office System for Cancer Prevention. Journal of Family Practice 35:388-94.
7. Carter, A.P., R.S. Thompson, R.V. Bourdeau, J. Andenes, H. Mustin, and H. Straley. 1987. A Clinically Effective Breast Cancer Screening Program Can Be Cost-effective, Too. Preventive Medicine 16: 19-34.
8. Center for Advancement of Health. 2001. Personal communication from Jessie Gruman, May, 2001.
9. Curry, S.J. 1998. Building Effective Strategies to Decrease Tobacco Use in a Health Maintenance Organization: Group Health Cooperative of Puget Sound. Tobacco Control 7:S21-3.
10. Curry, S.J., and K.M. Emmons. 1994. Theoretical Models for Predicting and Improving Compliance with Breast Cancer Screening. Annals of Behavioral Medicine 16:302-16.
11. Curry, S.J., L. Grothaus, T. McAfee, and C. Pabiniak. 1998. Use and Cost-effectiveness of Smoking Cessation Services under Four Insurance Plans in a Health Maintenance Organization. New England Journal of Medicine 339:673-9.
12. Curry, S.J., and C.M. McBride. 1994. Relapse Prevention for Smoking Cessation: Review and Evaluation of Concepts and Interventions. Annual Review of Public Health 15:345-66.
13. Curry, S.J., S.H. Taplin, C. Anderman, W.E. Barlow, and C. McBride. 1993. A Randomized Trial of the Impact of Risk Assessment and Feedback on Participation in Mammography. Preventive Medicine 22:350-60.
14. Curry, S.J., E.H. Wagner, and L.C. Grothaus. 1991. Evaluation of Intrinsic and Extrinsic Motivation Interventions with a Self-help Smoking Cessation Program. Journal of Consulting and Clinical Psychology 59:318-24.
15. Dacey, S. 2000. Tobacco Cessation Program Implementation from Plans to Reality: Skill Building Worship-group Model. Tobacco Control 9:130-2.
16. Dickey, L.L., D.H. Gemson, and P. Carney. 1999. Office System Interactions Supporting Primary Care-based Health Behavior Change Counseling. American Journal of Preventive Medicine 17:299-308.
17. Emmons, K.M. 2000. Paper Contribution F: Behavioral and Social Science Contributions to the Health of Adults in the United States. In Promoting Health, eds. B.D. Smedly and S.L. Syme, 254-321. Washington, D.C.: National Academy Press.
18. Fisher, E.B., Jr., W.F. Auslander, J.F. Munro, C.L. Arfken, R.C. Brownson, and N.W. Owens. 1998. Neighbors for a Smoke Free North Side: Evaluation of a Community Organization Approach to Promoting Smoking Cessation among African Americans. American Journal of Public Health 88:1658-63.
19. Fisher, E.B., Jr., R.C. Strunk, L.K. Sussman, et al. 1996. Acceptability and Feasibility of a Community Approach to Asthma Management: The Neighborhood Asthma Coalition (NAC). Journal of Asthma 33:367-83.
20. Fletcher, S.W., W. Black, R. Harris, B.K. Rimer, and S. Shapiro. 1993. Report of the International Workshop on Screening for Breast Cancer. Journal of the National Cancer Institute 85:1644-56.
21. Flocke, S.A., K.C. Stange, S.J. Zyzanski. 1998. The Association of Attributes of Primary Care with the Delivery of Clinical Preventive Services. Medical Care 36(8 Suppl.):AS21-30.
22. Fox, P.D., and T. Fama. 1996. Managed Care and Chronic Illness: Challenges and Opportunities. Gaithersburg, Md.: Aspen.
23. Frosch, D.L., and R.M. Kaplan. 1999. Shared Decision Making in Clinical Medicine: Past Research and Future Directions. American Journal of Preventive Medicine 17:285-94.
24. Glasgow, R.E., and E.G. Eakin. 2000. Medical Office-based Interventions. In Psychological Aspects of Diabetes Care, eds. F.J. Snoek and C.S. Skinner, 142-68. London: Wiley.
25. Glasgow, R.E., R.G. Hiss, R.M. Anderson, et al. 2001. Report of Health Care Delivery Work Group: Behavioral Research Related to the Establishment of a Chronic Disease Model for Diabetes Care. Diabetes Care 24:124-30.
26. Glasgow, R.E., and L.A. Strycker. 2000. Level of Preventive Practices for Diabetes Management: Patient, Physician, and Office Correlates in Two Primary Care Samples. American Journal of Preventive Medicine 19:9-14.
27. Glasgow, R.E., L.A. Strycker, D.J. Toobert, and E.G. Eakin. 2000. The Chronic Illness Resources Survey: A Social-ecologic Approach to Assessing Support for Disease Self-management. Journal of Behavioral Medicine 23:559-83.
28. Glasgow, R.E., E. Wagner, R.M. Kaplan, F. Vinicor, L. Smith, and J. Norman. 1999. If Diabetes Is a Public Health Problem, Why Not Treat It as One? A Population-based Approach to Chronic Illness. Annals of Behavioral Medicine 21:159-70.
29. Goldstein, M.R., and J. DePue. 1998. Models for Provider-patient Interaction: Applications to Health Behavior Change. In The Handbook of Health Behavior Change, eds. S. Shumaker, E.B. Schron, and W.L. McBee, 85-113. New York: Springer.
30. Goodman, R.M., K.R. McLeroy, A. Steckler, and R. Hoyle. 1993. Development of Level of Institutionalization Scales for Health Promotion Programs. Health Education Quarterly 20:161-78.
31. Goodman, R.M., and A. Steckler. 1988. The Life and Death of a Health Promotion Program: An Institutionalization Perspective. International Quarterly of Community Health Education 89:5-19.
32. Greenfield, S., S.H. Kaplan, J.E. Ware, E.M. Yano, and H. Frank. 1988. Patients' Participation in Medical Care: Effects on Blood Sugar Control and Quality of Life in Diabetes. Journal of General Internal Medicine 3:448-57.
33. Grimshaw, J.M., and I.T. Russell. 1993. Effect of Guidelines on Medical Practice: A Systematic Review of Rigorous Evaluations. Lancet 342:1317-22.
34. Hollis, J.F., R. Bills, E. Whitlock, and V.J. Stevens. 2000. Implementing Tobacco Interventions in the Real World of Managed Care. Tobacco Control 9:18-24.
35. Holman, H., and K. Lorig. 2000. Patients as Partners in Managing Chronic Disease. Partnership Is a Prerequisite for Effective and Efficient Health Care. British Medical Journal 320:526-7.
36. Institute for Health & Aging. 1996. Chronic Care in America: A 21st Century Challenge. San Francisco: University of California.
37. Irvin, J.E., C.A. Bowers, M.E. Dunn, and M.C. Wang. 1999. Efficacy of Relapse Prevention: A Meta-analytic Review. Journal of Consulting and Clinical Psychology 67:563-70.
38. Kaplan, R.M. 2000. Two Pathways to Prevention. American Psychologist 55:382-96.
39. Katon, W., M. Von Korff, E. Lin, et al. 1995. Collaborative Management to Achieve Treatment Guidelines. Journal of the American Medical Association 273:1026-31.
40. Kenny, S.J., P.J. Smith, M.G. Goldschmid, J.M. Newman, and W.H. Herman. 1993. Survey of Physician Practice Behaviors Related to Diabetes Mellitus in the U.S.: Physician Adherence to Consensus Recommendations. Diabetes Care 16:1507-10.
41. Kottke, T.E., B.S. Edwards, and P.T. Hagen. 1999. Counseling: Implementing Our Knowledge in a Hurried and Complex World. American Journal of Preventive Medicine 17:295-8.
42. Kreuter, M.W., E. Vehige, and A.G. McGuire. 1996. Using Computer-tailored Calendars to Promote Childhood Immunization. Public Health Reports 111:176-8.
43. Leininger, L.S., L. Finn, L. Dickey, A.J. Dietrich, L. Foxhall, and D. Garr. 1996. An Office System for Organizing Preventive Services: A Report by the American Cancer Society Advisory Group on Preventive Health Care Reminder Systems. Archives of Family Medicine 5:108-15.
44. Lichtenstein, E., R.E. Glasgow, H.A. Lando, D.J. Ossip-Klein, and S.M. Boles. 1996. Telephone Counseling for Smoking Cessation: Rationales and Review of Evidence. Health Education Research 11:243-57.
45. Lorig, K. 1993. Self-management of Chronic Illness: A Model for the Future. Generations (n.v.):11-4.
46. Marcus, B.H., B.C. Bock, B.M. Pinto, et al. 1998. Efficacy of Individualized, Motivationally Tailored Physical Activity Intervention. Annals of Behavioral Medicine 20:174-80.
47. McAfee, T., J. Wilson, S. Dacey, N. Sofian, S. Curry, and B. Wagner. 1995. Awakening the Sleeping Giant: Mainstreaming Efforts to Decrease Tobacco Use in an HMO. HMO Practice 9:138-43.
48. McBride, C.M., S.J. Curry, L.C. Grothaus, D. Rosner, D. Louie, and E.H. Wagner. 1998. Use of Self-help Materials and Smoking Cessation among Proactively Recruited and Volunteer Intervention Participants. American Journal of Health Promotion 12:321-4.
49. McCulloch, D.K., M.J. Price, M. Hindmarsh, and E.H. Wagner. 1998. A Population-based Approach to Diabetes Management in a Primary Care Setting: Early Results and Lessons Learned. Effective Clinical Practice 1:12-22.
50. McGinms, J.M., and W.H. Foege. 1993. Actual Causes of Death in the United States. Journal of the American Medical Association 270:2207-12.
51. McPhee, S.J., and W.M. Detmer. 1993. Office-based Interventions to Improve Delivery of Cancer Prevention Services by Primary Care Physicians. Cancer 72:1100-12.
52. National Committee for Quality Assurance. 1996. Health Plan Employer Data and Information Set 3.0. Washington, D.C.: National Committee for Quality Assurance.
53. Ockene, J.K., K.M. Emmons, R.J. Mermelstein, et al. 2000. Relapse and Maintenance Issues for Tobacco Cessation. Health Psychology 19:17-31.
54. Ockene, J.K., and J.G. Zapka. 2000. Provider Education to Promote Implementation of Clinical Practice Guidelines. Chest 118: S33-9.
55. Orleans, C.T. 2000. Promoting the Maintenance of Health Behavior Change: Recommendations for the Next Generation of Research and Practice. Health Psychology 19:76-83.
56. Orleans, C.T., T.J. Glynn, M.W. Manley, and J. Slade. 1993. Minimal-contact Quit Smoking Strategies for Medical Settings. In Nicotine Addiction: Principles and Management, eds. C.T. Orleans and J. Slade, 181-220. New York: Oxford University Press.
57. Orleans, C.T., J. Gruman, C. Ulmer, S.L. Emont, and J.K. Hollendonner. 1999. Rating Our Progress in Population Health Promotion: Report Card on Six Behaviors. American Journal of Health Promotion 14:75-82.
58. Orleans, C.T., V.J. Schoenbach, E.H. Wagner, et al. 1991. Self-help Quit Smoking Interventions: Effects of Self-help Materials, Social Support Instructions, and Telephone Counseling. Journal of Consulting and Clinical Psychology 59:439-48.
59. Perri, M.G., S.F. Sears, and J.E. Clark. 1993. Strategies for Improving Maintenance of Weight Loss: Toward a Continuous Care Model of Obesity Management. Diabetes Care 16:200-9.
60. Pommerenke, F.A., and D.L. Weed. 1991. Physician Compliance: Review and Application to Cancer Detection and Prevention. American Family Physician 43:560-8.
61. Potosky, A.L., R.M. Merrill, G.F. Riley, et al. 1997. Breast Cancer Survival and Treatment in Health Maintenance Organization and Fee-for-service Settings. Journal of the National Cancer Institute 89:1683-91.
62. Rich, M.W., D.B. Gray, V. Beckham,C. Wittenberg, and P. Luther. 1996. Effect of a Multidisciplinary Intervention on Medication Compliance in Elderly Patients with Congestive Heart Failure. American Journal of Medicine 101:270-6.
63. Rimer, B.K., M. Conway, P. Lyna, et al. 1999. The Impact of Tailored Interventions on a Community Health Center Population. Patient Education and Counseling 37:125-40.
64. Roter, D.L., J.A. Hall, and R. Merisca. 1998. Effectiveness of Interventions to Improve Patient Compliance. Medical Care 36:1138-61.
65. Sadur, C.N., N. Moline, M. Costa, et al. 1999. Diabetes Management in a Health Maintenance Organization: Efficacy of Care Management Using Cluster Visits. Diabetes Care 22:2011-7.
66. Schauffler, H.H. 1999. Policy Tools for Building Health Education and Preventive Counseling into Managed Care. American Journal of Preventive Medicine 17:309-14.
67. Schuster, M.A., E.A. McGlynn, and R.H. Brook. 1998. How Good Is the Quality of Health Care in the United States? Milbank Quarterly 76:517-63.
68. Senge, P.M. 1990. The Fifth Discipline: The Art and Practice of the Learning Organization. New York: Currency Doubleday.
69. Skinner, C.S., M.K. Campbell, B.K. Rimer, S. Curry, and J.O. Prochaska. 1999. How Effective Is Tailored Print Communication? Annals of Behavioral Medicine 21:290-8.
70. Smedley, B.D., and S.L. Syme. 2001. Promoting Health: Intervention Strategies from Social and Behavioral Research. American Journal of Health Promotion 15:149-66.
71. Solberg, L.I., M.L. Brekke, C.J. Fazio, et al. 2000. Lessons from Experienced Guideline Implementers: Attend to Many Factors and Use Multiple Strategies. Joint Commission Journal of Quality Improvement 26:171-88.
72. Solberg, L.I., M.L. Brekke, T.E. Kottke, and R.P. Steel. 1998. Continuous Quality Improvement in Primary Care: What's Happening? Medical Care 36:625-35.
73. Solberg, L.I., T.E. Kottke, and M.L. Brekke. 1998. Will Primary Care Clinics Organize Themselves to Improve the Delivery of Preventive Services? A Randomized Controlled Trial. Preventive Medicine 27:623-31.
74. Solberg, L.I., T.E. Kottke, M.L. Brekke, S.A. Conn, S. Magnan, and G. Amundson. 1998. The Case of the Missing Clinical Preventive Services Systems. Effective Clinical Practice 1:33-8.
75. Solberg, L.I., T.E. Kottke, S.A. Conn, M.L. Brekke, C.A. Calomeni, and K.S. Conboy. 1997. Delivering Clinical Preventive Services Is a Systems Problem. Annals of Behavioral Medicine 19:271-8.
76. Solberg, L.I., L.A. Reger, T.L. Pearson, L.M. Cherney, P.J. O'Connor, and S.L. Freeman. 1997. Using Continuous Quality Improvement to Improve Diabetes Care in Populations: The IDEAL Model. Quality Improvement 23:581-92.
77. Special Issue of American Journal of Preventive Medicine. 2001. Guide to Community Preventive Services: Tobacco Use, Prevention and Control, Reviews, Recommendations, and Expert Commentary. American Journal of Preventive Medicine 20(2S):1-87.
78. Starfield, B. 1998. Primary Care: Balancing Health Needs, Services, and Technology. New York: Oxford University Press.
79. Starfield, B., N.R. Power, and J.R. Weiner. 1994. Costs vs. Quality in Different Types of Primary Care Settings. Journal of the American Medical Association 272:1903-80.
80. Stockwell, D.H., S. Madhavan, H. Cohen, G. Gibson, and M.H. Alderman. 1994. The Determinants of Hypertension Awareness, Treatment, and Control in an Insured Population. American Journal of Public Health 84:1768-74.
81. Syme, S.L., and J.L. Balfour. 1998. Social Determinants of Disease. Stanford, Calif.: Appleton & Lange.
82. Taplin, S.H., C. Anderman, L. Grothaus, S. Curry, and D.E. Montano. 1994. Using Physician Correspondence and Postcard Reminders to Promote Mammography Use. American Journal of Public Health 84:571-4.
83. Taplin, S.H., W.E. Barlow, E. Ludman, et al. 2000. Testing Reminder and Motivational Telephone Calls to Increase Screening Mammography. Journal of the National Cancer Institute 92:233-42.
84. Taplin, S.H., W.E. Barlow, N. Urban, et al. 1995. Stage, Age, Comorbidity, and Direct Costs of Colon, Prostate, and Breast Cancer Care. Journal of the National Cancer Institute 87:417-26.
85. Taplin, S.H., M.T. Mandelson, C. Anderman, et al. 1997. Mammography Diffusion and Trends in Late-stage Breast Cancer: Evaluating Outcomes in a Population. Cancer Epidemiology, Biomarkers and Prevention 6:625-31.
86. Taplin, S.H., R.S. Thompson, F. Schnitzer, C. Anderman, and V. Immanuel. 1990. Revisions in the Risk-based Breast Cancer Screening Program at Group Health Cooperative. Cancer 66:812-8.
87. Thompson, R.S. 1996. What Have HMOs Learned about Clinical Prevention Services? An Examination of the Experience at Group Health Cooperative of Puget Sound. Milbank Quarterly 74:469-509.
88. Thompson, R.S., W.E. Barlow, S.H. Taplin, et al. 1994. A Population-based Case-cohort Evaluation of the Efficacy of Mammographic Screening for Breast Cancer. American Journal of Epidemiology 140:889-901.
89. Thompson, R.S., S.H. Taplin, T.A. McAfee, M.T. Mandelson, and A.E. Smith. 1995. Primary and Secondary Prevention Services in Clinical Practice. Journal of the American Medical Association 273:1130-5.
90. Thompson, R.S., S.H. Woolf, S.H. Taplin, B.V. Davis, T.H. Payne, and M.E. Stuart. 1996. How to Organize a Practice for the Development and Delivery of Preventive Services. In Health Promotion and Disease Prevention in Clinical Practice, eds. S.H. Woolf, S. Jonas, and R.S. Lawrence, 483-504. Baltimore: Williams & Wilkins.
91. Thun, M., and T.J. Glynn. 2000. Improving the Treatment of Tobacco Dependence. British Medical Journal 321:311-2.
92. U.S. Department of Health and Human Services. 2000. Healthy People 2010: Understanding and Improving Health. Washington, D.C.: Government Printing Office.
93. U.S. Preventive Services Task Force. 1996. Guide to Clinical Preventive Services, 2nd ed. Baltimore: Williams & Wilkins.
94. U.S. Public Health Service. 1991. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. DHHS Publication No. (PHS) 91-50212. Washington, D.C.: Government Printing Office.
95. Von Korff, M., J. Gruman, J. Schaefer, S.J. Curry, and E.H. Wagner. 1997. Collaborative Management of Chronic Illness. Annals of Internal Medicine 19:1097-102.
96. Wagner, E.H. 1998. Chronic Disease Management: What Will It Take to Improve Care for Chronic Illness? Effective Clinical Practice 1:1-4.
97. Wagner, E.H. 2000. The Role of Patient Care Teams in Chronic Disease Management. British Medical Journal 320:569-72.
98. Wagner, E.H., B. Austin, and M. Von Korff. 1996a. Improving Outcomes in Chronic Illness. Managed Care Quarterly 4:12-25.
99. Wagner, E.H., B.T. Austin, and M. Von Korff. 1996b. Organizing Care for Patients with Chronic Illness. Milbank Quarterly 74:511-44.
100. Wagner, E.H., S.J. Curry, L. Grothaus, K.W. Saunders, and C.M. McBride. 1995. The Impact of Smoking and Quitting on Health Care Use. Archives of Internal Medicine 155:1789-95.
101. Wagner, E.H., C. Davis, J. Schaefer, M. Von Korff, and B. Austin. 1999. A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature? Managed Care Quarterly 7:56-66.
102. Wagner, E.H., R.E. Glasgow, C. Davis, et al. 2001. Quality Improvement in Chronic Illness Care: A Collaborative Approach. Journal of Joint Commission on Health Care Quality 27:63-80.
103. Walsh, J.M.E., and S.J. McPhee. 1992. A Systems Model of Clinical Preventive Care: An Analysis of Factors Influencing Patient and Physician. Health Education Quarterly 19:157-75.
104. Wasson, J., C. Gaudette, F. Whaley, A. Sauvigne, P. Baribeau, and H.G. Welch. 1992. Telephone Care as a Substitute for Routine Clinic Follow-up. Journal of the American Medical Association 267:1788-93.