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Collaborative care models have been shown to improve care and outcomes for patients with chronic conditions such as diabetes and depression. A total of 703 patients with ischemic heart disease from 4 Department of Veterans Affairs facilities and affiliated clinics, whose angina was poorly controlled, were enrolled a prospective, population-based, cluster-randomized (by primary care provider) trial of a multifaceted intervention based on a collaborative care model. Collaborative care teams transmitted recommendations via the electronic health record to 183 primary care providers. Although 92% of 701 recommendations were implemented, patients' self-reported symptoms and health did not significantly improve and concordance with guidelines improved only modestly.
In This Issue of Archives of Internal Medicine. Arch Intern Med. 2011;171(16):1424. doi:10.1001/archinternmed.2011.398
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