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.
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.
Thomas Bodenheimer, Edward H. Wagner, Kevin Grumbach. Improving Primary Care for Patients With Chronic Illness. JAMA. 2002;288(14):1775–1779. doi:10.1001/jama.288.14.1775