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  Vol. 288 No. 14, October 9, 2002 TABLE OF CONTENTS
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  Innovations in Primary Care
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Improving Primary Care for Patients With Chronic Illness

Thomas Bodenheimer, MD; Edward H. Wagner, MD, MPH; Kevin Grumbach, MD

JAMA. 2002;288:1775-1779.

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.


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).



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RELATED LETTER

Challenges Facing Family Practice and Primary Care
Kevin Grumbach and Thomas Bodenheimer
JAMA. 2003;289(3):299-300.
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