Managing multiple chronic conditions: A strategic framework for improving health outcomes and quality of life

Public Health Reports

Volumn 126, Issue 4, 2011, Pages 460-471

  Parekh, Anand K ^a   Goodman, Richard A ^a,b   Gordon, Catherine ^c   Koh, Howard K ^a  

^a U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

^b NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION   (United States)

^c CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC DISEASE; COMMUNITY CARE; CONCEPTUAL FRAMEWORK; DISEASE COURSE; DISEASE EXACERBATION; DRUG SAFETY; EMOTION; EVIDENCE BASED MEDICINE; EXTERNAL VALIDITY; FUNCTIONAL STATUS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH PROGRAM; HOME CARE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; INFORMATION DISSEMINATION; INFORMATION TECHNOLOGY; MEDICAL EDUCATION; MEDICAL INFORMATION; MEDICATION THERAPY MANAGEMENT; MULTIPLE CHRONIC CONDITION; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SAFETY; PERSONNEL MANAGEMENT; PRACTICE GUIDELINE; PRIORITY JOURNAL; PUBLIC-PRIVATE PARTNERSHIP; QUALITY OF LIFE; SELF CARE; SOCIAL WORK; GOVERNMENT; HEALTH CARE POLICY; HEALTH EDUCATION; HEALTH SERVICES RESEARCH; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PUBLIC HEALTH; TREATMENT OUTCOME; UNITED STATES;

CHRONIC DISEASE; HEALTH EDUCATION; HEALTH SERVICES RESEARCH; HUMANS; PATIENT CARE MANAGEMENT; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PUBLIC HEALTH; QUALITY OF LIFE; SELF CARE; TREATMENT OUTCOME; UNITED STATES; UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES;

EID: 80051574700     PISSN: 00333549     EISSN: 14682877     Source Type: Journal    
DOI: 10.1177/003335491112600403     Document Type: Article

References (50)

1. American Association of Retired People Public Policy Institute. Chronic care: a call to action for health reform. 2009 [cited 2011 Mar 22]. Available from: URL: http://assets.aarp.org/rgcenter/health/beyond_50_hcr.pdf
2. Schneider KM, O'Donnell BE, Dean D. Prevalence of multiple chronic conditions in the United States' Medicare population. Health Qual Life Outcomes 2009;7:82.
3. Warshaw G. Introduction: advances and challenges in care of older people with chronic illness. Generation 2006;30:5-10.
4. Hwang W, Weller W, Ireys H, Anderson G. Out-of-pocket medical spending for care of chronic conditions. Health Aff (Millwood) 2001;20:267-78.
5. Anderson G. Chronic care: making the case for ongoing care. Princeton (NJ): Robert Wood Johnson Foundation; 2010. Also available from: URL: http://www.rwjf.org/files/research/50968chronic.care.chartbook.pdf [cited 2011 Jan 19].
6. Anderson G, Horvath J. The growing burden of chronic disease in America. Public Health Rep 2004;119:263-70.
7. Paez KA, Zhao L, Hwang W. Rising out-of-pocket spending for chronic conditions: a ten-year trend [published erratum appears in Health Aff (Millwood) 2009;28:10.1377/hlthaff.28.1.15]. Health Aff (Millwood) 2009;28:15-25.
8. Lee TA, Shields AE, Vogeli C, Gibson TB, Woong-Sohn M, Marder WD, et al. Mortality rate in veterans with multiple chronic conditions. J Gen Intern Med 2007;22 Suppl 3:403-7.
9. Vogeli C, Shields AE, Lee TA, Gibson TB, Marder WD, Weiss KB, et al. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med 2007;22 Suppl 3:391-5.
10. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002;162:2269-76.
11. Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet 2007;370:851-8.
12. Thorpe KE, Ogden LL, Galactionova K. Chronic conditions account for rise in Medicare spending from 1987 to 2006. Health Aff (Millwood) 2010;29:718-24.
13. Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies Press; 2001.
14. Redelmeier DA, Tan SH, Booth GL. The treatment of unrelated disorders in patients with chronic medical diseases. N EngI J Med 1998;338:1516-20.
15. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA 2002;288:2469-75.
16. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998;1:2-4.
17. Barr VJ, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D, et al. The expanded Chronic Care Model: an integration of concepts and strategies from population health promotion and the Chronic Care Model. Hosp Q 2003;7:73-82.
18. World Health Organization. The Innovative Care for Chronic Conditions framework (ICCC) [cited 2011 Mar 22]. Available from: URL: http://www.who.int/diabetesactiononline/about/ICCC/en/index.html
19. Lorig KR, Sobel DS, Stewart AL, Brown BW Jr, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 1999;37:5-14.
20. Lorig KR, Sobel DS, Ritter PL, Laurent D, Hobbs M. Effect of a self-management program on patients with chronic disease. Eff Clin Pract 2001;4:256-62.
21. Bodenheimer T, Berry-Millett R. Care management of patients with complex health care needs. Princeton (NJ): Robert Wood Johnson Foundation; December 2009. Also available from: URL: http://www.rwjf.org/files/research/021710.policysynthesis.caremanagement .rpt.revised.pdf [cited 2011 Mar 22].
22. Brown R. The promise of care coordination: models that decrease hospitalizations and improve outcomes for Medicare beneficiaries with chronic illness. March 2009 [cited 2011 Mar 22]. Available from: URL: http://www.americantelecare.com/pdfs/Promise%20of%20Care%20Coordination. pdf
23. Department of Health and Human Services (US). HHS initiative on multiple chronic conditions [cited 2011 Mar 22]. Available from: URL: http://www.hhs.gov/ash/initiatives/mcc/index.html
24. Geyman JP. Disease management: panacea, another false hope, or something in between. Ann Fam Med 2007;5:257-60.
25. Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries. JAMA 2009;301:603-18.
26. Rosenthal TC. The medical home: growing evidence to support anew approach to primary care. J Am Board Fam Med 2008;21:427-40.
27. Substance Abuse and Mental Health Services Administration (US). Screening works: update from the field. SAMHSA News 2008;16(2). Also available from: URL: http://www.samhsa.gov/samhsa_news/volumexvi_2/article2.htm [cited 2011 Mar 22].
28. Alakeson V, Frank RG, Katz RE. Specialty care medical homes for people with severe, persistent mental disorders. Health Aff (Millwood) 2010;29:867-73.
29. Friedman B, Jiang HJ, Elixhauser A. Costly hospital readmissions and complex chronic illness. Inquiry 2008-2009;45:408-21.
30. Greenhalgh T. Chronic illness: beyond the expert patient. BMJ 2009;338:629-31.
31. Lorig KR, Hurwicz M, Soel D, Hobbs M, Ritter PL. A national dissemination of an evidence-based self-management program: a process evaluation study. Patient Educ Counseling 2004;59:69-79.
32. Lorig KR, Ritter PL, Laurent DD, Plant K. Internet-based chronic disease self-management: a randomized trial. Med Care 2006;44:946-71.
33. Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of diseasespecific guidelines for patients with multiple conditions. N Engl J Med 2004;351:2870-4.
34. Darer JD, Hwang W, Pham HH, Bass EB, Anderson G. More training needed in chronic care: a survey of US physicians. Acad Med 2004;79:541-8.
35. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA 2005;294:716-24.
36. Norris SL, High K, Gill TM, Hennessy S, Kutner JS, Reuben DB, et al. Health care for older Americans with multiple chronic conditions: a research agenda. J Am Geriatr Soc 2008;56:149-59.
37. Centers for Disease Control and Prevention (US). Guide to community preventive services [cited 2011 Mar 22]. Available from: URL: http://www.thecommunityguide.org/about/glossary.html
38. Public Law 111-148, 111th Congress (2010).
39. Public Law 111-148, §3021.
40. Public Law 111-148, §2703.
41. Public Law 111-148, §3022.
42. National Conference on State Legislators. Accountable care organizations. Health Cost Containment and Efficiencies: NCSL Briefs for State Legislators May 2010;5:1-4. Also available from: URL: http://www.ncsl.org/portals/1/documents/health/ACCOUNTABLE_CARE-2010.pdf [cited 2011 Mar 22].
43. Medicare Payment Advisory Commission. Report to Congress: improving incentives in the Medicare program. Washington: Medicare Payment Advisory Commission; June 2009. Also available from: URL: http://www.medpac.gov/documents/jun09_entirereport.pdf [cited 2011 Mar 22].
44. Fisher ES, Shortell SM. Accountable care organizations: accountable for what, to whom, and how. JAMA 2010;304:1715-6.
45. Public Law 111-148, §3024.
46. Public Law 111-148, §3026.
47. Public Law 111-148, §2717.
48. Public Law 111-148, §4202.
49. Public Law 111-148, §6301.
50. National Quality Forum. Multiple chronic conditions measurement framework [cited 2011 Mar 22]. Available from: URL: http://www.qualityforum.org/Projects/Multiple_Chronic_Conditions_Measure ment_Framework.aspx