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Lawrence P. Casalino, MD, PhD

JAMA. 2005;293:485-488.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

There is a large gap between what physicians do for patients with chronic diseases and what should be done.¹ Most physicians lack the time, information technology, and financial incentives to develop organized processes to systematically improve the quality of care provided to these patients.² During the past decade, 2 main models have emerged to address this "quality chasm" in outpatient care: disease management and the chronic care model. Early in 2005, the Center for Medicare & Medicaid Services (CMS) will begin a large disease management initiative that may profoundly impact patient care and the organization of physician practice. But few physicians are aware of this initiative, and in general, neither disease management, nor the chronic care model are easily understood. Neither model appears in the index of a major collection of essays on medical group practice published in 2004.³ This article will describe the CMS . . . [Full Text of this Article]

Disease Management

Author Affiliation: Department of Health Studies, University of Chicago, Chicago, Ill.

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