Facilitators and barriers of implementing the chronic care model in primary care: A systematic review

BMC Family Practice

Volumn 16, Issue 1, 2015, Pages

  Kadu, Mudathira K ^a   Stolee, Paul ^a  

^a UNIVERSITY OF WATERLOO   (Canada)

Author keywords

Chronic care model; Chronic diseases; Intervention implementation; Organizational change; Primary care; Quality improvement

Indexed keywords

CHRONIC DISEASE; HUMAN; NEEDS ASSESSMENT; NONBIOLOGICAL MODEL; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; TOTAL QUALITY MANAGEMENT;

CHRONIC DISEASE; HUMANS; MODELS, ORGANIZATIONAL; NEEDS ASSESSMENT; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; PATIENT CARE MANAGEMENT; PRIMARY HEALTH CARE; QUALITY IMPROVEMENT;

EID: 84928693105     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/s12875-014-0219-0     Document Type: Review

References (59)

1. World Health Organization. Innovative care for chronic conditions: building blocks for action, global report. Geneva: World Health Organization; 2002.
2. World Health Organization. The global strategy on diet, physical activity and health. Geneva: World health Organization; 2002.
3. Public Health Agency of Canada. Chronic diseases in Canada: United Nations noncommunicable disease summit. Ottawa: Public Health Agency of Canada; 2011.
4. Anderson G, Knickman JR. Changing the chronic care system to meet people's needs. Health Aff. 2001;20(Supp 6):146-60.
5. Nolte E, McKee M. Caring for people with chronic conditions: a health system perspective. New York: McGraw-Hill International; 2008. p. 1-11.
6. Rothman AA, Wagner EH. Chronic illness management : what is the role of primary care? Ann Intern Med. 2003;138 Suppl 3:256-62.
7. Coleman K, Mattke S, Perrault PJ, Wagner EH. Untangling practice redesign from disease management: how do we best care for the chronically ill? Annu Rev Public Health. 2009;30:385-408.
8. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff. 2001;20 Suppl 6:64-78.
9. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74 Suppl 4:511-44.
10. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288 Suppl 14:1775-9.
11. Warm EJ. Diabetes and the chronic care model: a review. Curr Diabetes Rev. 2007;3 Suppl 4:219-25.
12. Asch SM, Baker DW, Keesey JW, Broder M, Schonlau M, Rosen M, et al. Does the collaborative model improve care for chronic heart failure? Med Care. 2005;43 Suppl 7:667-75.
13. Artz N, Whelan C, Feehan S. Caring for the adult with sickle cell disease: results of a multidisciplinary pilot program. J Natl Med Assoc. 2010;102 Suppl 11:1009.
14. Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff. 2009;28 Suppl 1:75-85.
15. Cretin S, Shortell SM, Keeler EB. An evaluation of collaborative interventions to improve chronic illness care framework and study design. Eval Rev. 2004;28 Suppl 1:28-51.
16. Dorr DA, Wilcox A, Burns L, Brunker CP, Narus SP, Clayton PD. Implementing a multidisease chronic care model in primary care using people and technology. Dis Manag. 2006;9 Suppl 1:1-15.
17. Bonomi AE, Wagner EH, Glasgow RE, VonKorff M. Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health Serv Res. 2002;37 Suppl 3:791-820.
18. Rondeau KV, Bell NR. The chronic care model: which physician practice organizations adapt best? Healthc Manage Forum. 2009;22 Suppl 4:31-9.
19. Chin MH, Cook S, Drum ML, Jin L, Guillen M, Humikowski CA, et al. Improving diabetes care in midwest community health centers with the health disparities collaborative. Diabetes Care. 2004;27 Suppl 1:2-8.
20. Holm AL, Severinsson E. Chronic care model for the management of depression: Synthesis of barriers to, and facilitators of, success. Int J Ment Health Nurs. 2012;21 Suppl 6:513-23.
21. Iles V, Sutherland K. Organisational change: a review for health care managers, professionals and researchers. In: National Coordinating Center for National Health Service Delivery and Organization. 2001. p. 12-68.
22. Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A. An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004;13 Suppl 8:913-24.
23. Luxford K, Safran DG, Delbanco T. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International J Qual Health Care. 2011;23 Suppl 5:510-5.
24. Newton PJ, Halcomb EJ, Davidson PM, Denniss AR. Barriers and facilitators to the implementation of the collaborative method: reflections from a single site. Qual Safety Health Care. 2007;16 Suppl 6:409-14.
25. Solberg LI, Crain AL, Sperl-Hillen JM, Hroscikoski MC, Engebretson KI, O' Connor PJ. Care quality and implementation of the chronic care model: a quantitative study. Ann Fam Med. 2006;4 Suppl 4:310-6.
26. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4 Suppl 1:50.
27. Wagner EH, Davis C, Schaefer J, Von Korff M, Austin B. A survey of leading chronic disease management programs: are they consistent with the literature? Manag Care Q. 1998;7 Suppl 3:56-66.
28. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness- The chronic care model, part 2. JAMA. 2002;288 Suppl 15:1909-14.
29. Fixsen DL, Naoom SF, Blase KA, Friedman RM. Implementation research: a synthesis of the literature. South Florida: Louis de la Parte Florida Mental Health Institute; 2005.
30. Donaldson MS, Yordy KD, Lohr KN, Vanselow NA. Primary Care: America's health in a new era. Washington, D.C: National Academy Press; 1996.
31. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6 Suppl 7:1-28.
32. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quart. 2005;82:581-629.
33. Mair FS, May C, O'Donnell C, Finch T, Sullivan F, Murray E. Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review. Bull World Health Organ. 2012;90 Suppl 5:357-64.
34. Barceló A, Cafiero E, de Boer M, Mesa AE, Lopez MG, Jiménez RA, et al. Using collaborative learning to improve diabetes care and outcomes: the VIDA project. Prim Care Diabetes. 2010;4 Suppl 3:145-53.
35. Boyd CM, Boult C, Shadmi E, Leff B, Brager R, Dunbar L, et al. Guided care for multimorbid older adults. Gerontologist. 2007;47 Suppl 5:697-704.
36. Boyd CM, Leff B, Sylvia M, Boult C. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med. 2008;23 Suppl 5:536-42.
37. Graber JE, Huang ES, Drum ML, Chin MH, Walters AE, Heuer L, et al. Predicting changes in staff morale and burnout at community health centers participating in the health disparities collaboratives. Health Serv Res. 2008;43 Suppl 4:1403-23.
38. Haggstrom DA, Taplin SH, Monahan P, Clauser S. Chronic Care Model implementation for cancer screening and follow-up in community health centers. J Health Care Poor Underserved. 2012;23 Suppl 3:49-66.
39. Henke RM, Chou AF, Chanin JC, Zides AB, Scholle SH. Physician attitude toward depression care interventions: implications for implementation of quality improvement initiatives. Implement Sci. 2008;3 Suppl 1:40.
40. Hroscikoski MC, Solberg LI, Sperl-Hillen JM, Harper PG, McGrail MP, Crabtree BF. Challenges of change: a qualitative study of chronic care model implementation. Ann Fam Med. 2006;4 Suppl 4:317-26.
41. Johnson P, Raterink G. Implementation of a diabetes clinic-in-a-clinic project in a family practice setting: using the plan, do, study, act model. J Clin Nurs. 2009;18 Suppl 14:2096-103.
42. Kirsch S, Watts S, Pascuzzi K, O'Day MK, Davidson D, Strauss G, et al. Shared medical appointments based on the chronic care model: a quality improvement project to address the challenges of patients with diabetes with high cardiovascular risk. Qual Safe Health Care. 2007;16:349-53.
43. Liebman J, Heffernan D, Sarvela P. Establishing diabetes self-management in a community health center serving low-income Latinos. Diabetes Educ. 2007;33 Suppl 6:132-8.
44. Lemay CA, Beagan BM, Ferguson WJ, Lee J. Peer reviewed: lessons learned from a collaborative to improve care for patients with diabetes in 17 community health centers, Massachusetts, 2006. Prev Chronic Dis. 2010;7 Suppl 4:1-9.
45. Nutting PA, Gallagher KM, Riley K, White S, Dietrich AJ, Dickinson WP. Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trial. Admin Policy Mental Health Mental Health Serv Res. 2007;34 Suppl 2:127-37.
46. Pearson ML, Wu S, Schaefer J, Bonomi AE, Shortell SM, Mendel PJ, et al. Assessing the implementation of the chronic care model in quality improvement collaboratives. Health Serv Res. 2005;40 Suppl 4:978-96.
47. Reuben DB, Roth C, Kamberg C, Wenger NS. Restructuring primary care practices to manage geriatric syndromes: The ACOVE-2 Intervention. J Am Geriatr Soc. 2003;51 Suppl 12:1787-93.
48. Sanchez I. Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. Diabetes Educ. 2011;37 Suppl 3:381-91.
49. Schmittdiel JA, Shortell SM, Rundall TG, Bodenheimer T, Selby JV. Effect of primary health care orientation on chronic care management. Ann Fam Med. 2006;4 Suppl 2:117-23.
50. Sunaert P, Bastiaens H, Nobels F, Feyen L, Verbeke G, Vermeire E, et al. Effectiveness of the introduction of a Chronic Care Model-based program for type 2 diabetes in Belgium. BMC Health Serv Res. 2010;10 Suppl 1:207.
51. Taylor D, Lahey M. Increasing the involvement of specialist physicians in chronic disease management. J Health Serv Res Policy. 2008;13 suppl 1:52-6.
52. Walters BH, Adams SA, Nieboer AP, Bal R. Disease management projects and the Chronic Care Model in action: baseline qualitative research. BMC Health Serv Res. 2012;12 Suppl 1:114.
53. Watts SA, Gee J, O'Day ME, Schaub K, Lawrence R, Aron D, et al. Nurse practitioner-led multidisciplinary teams to improve chronic illness care: the unique strengths of nurse practitioners applied to shared medical appointments/group visits. J Am Acad Nurse Pract. 2009;21 Suppl 3:167-72.
54. Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Quart. 2001;79:281-315.
55. Wolfson D, Bernabeo E, Leas B, Sofaer S, Pawlson G, Pillittere D. Quality improvement in small office settings: an examination of successful practices. BMC Fam Pract. 2009;10 Suppl 1:14.
56. Marshall M, Sheaff R, Rogers A, Campbell S, Halliwell S, Pickard S, et al. A qualitative study of the cultural changes in primary care organisations needed to implement clinical governance. Br J Gen Pract. 2002;52 Suppl 481:641-5.
57. Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. Br Med J. 2001;323 Suppl 7313:625-8.
58. Meredith LS, Mendel P, Pearson M, Wu SY, Joyce G, Straus JB, et al. Implementation and maintenance of quality improvement for treating depression in primary care. Psychiatr Serv. 2006;57 Suppl 1:48-55.
59. Kirsh SR, Lawrence RH, Aron DC. Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes. Implement Sci. 2008;3 Suppl 1:34.