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Innovations in Primary Care
October 9, 2002

Improving Primary Care for Patients With Chronic Illness

Author Affiliations

Author Affiliations: Family and Community Medicine, University of California, San Francisco (Drs Bodenheimer and Grumbach); and MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, Wash (Dr Wagner).


Innovations in Primary Care Section Editor: Drummond Rennie, MD, Deputy Editor, JAMA.

JAMA. 2002;288(14):1775-1779. doi:10.1001/jama.288.14.1775

The chronic care model is a guide to higher-quality chronic illness management within primary care. The model predicts that improvement in its 6 interrelated components—self-management support, clinical information systems, delivery system redesign, decision support, health care organization, and community resources—can produce system reform in which informed, activated patients interact with prepared, proactive practice teams. Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations.