The ten characteristics of the high-performing chronic care system
- 1 January 2010
- journal article
- perspective
- Published by Cambridge University Press (CUP) in Health Economics, Policy and Law
- Vol. 5 (1), 71-90
- https://doi.org/10.1017/s1744133109990120
Abstract
The purpose of this paper is to describe the characteristics of the high-performing chronic care system and the four implementation strategies needed to achieve such a system. The paper starts with a description of the Chronic Care Model and summarises evidence on its impact. This is followed by a review of international evidence on gaps in the quality of chronic care. These gaps suggest that, useful and influential as the Chronic Care Model is, more is needed to help health care decision makers bring about the reorientation required to meet the needs of populations in which chronic diseases predominate. The second half of the paper therefore sets out the ten characteristics and four implementation strategies required to achieve a high-performing chronic care system. In doing so, it provides practical guidance to policy makers and health care leaders on the most promising strategies for improving the provision of chronic care, drawing on evidence from the experience of England, New Zealand and USA.Keywords
This publication has 27 references indexed in Scilit:
- Coordinating Care — A Perilous Journey through the Health Care SystemThe New England Journal of Medicine, 2008
- Making performance indicators work: experiences of US Veterans Health AdministrationBMJ, 2007
- The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trialJournal of Epidemiology and Community Health, 2007
- Rethinking Prevention in Primary Care: Applying the Chronic Care Model to Address Health Risk BehaviorsThe Milbank Quarterly, 2007
- The Veterans Health Administration: An American Success Story?The Milbank Quarterly, 2007
- Toward Higher-Performance Health Systems: Adults' Health Care Experiences In Seven Countries, 2007Health Affairs, 2007
- Case finding for patients at risk of readmission to hospital: development of algorithm to identify high risk patientsBMJ, 2006
- Contribution of Primary Care to Health Systems and HealthThe Milbank Quarterly, 2005
- Assessing the Implementation of the Chronic Care Model in Quality Improvement CollaborativesHealth Services Research, 2005
- Kaiser Permanente: a propensity for partnershipBMJ, 2003