ArticleAnnals of family medicine
Care quality and implementation of the chronic care model: a quantitative study.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03000751 (CT Dose Optimization and Standardization Endeavor), which is not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
CT Dose Optimization and Standardization Endeavor (DOSE) Collaboratory
Who cites it
29 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review.BMC health services research · 2015Pooled it
- Facilitators and barriers of implementing the chronic care model in primary care: a systematic review.BMC family practice · 2015Pooled it
- Identification, summary and comparison of tools used to measure organizational attributes associated with chronic disease management within primary care settings.Journal of evaluation in clinical practice · 2014Pooled it
- Chronic Care Model Decision Support and Clinical Information Systems interventions for people living with HIV: a systematic review.Journal of general internal medicine · 2013Pooled it
- Cardiovascular health disparities: a systematic review of health care interventions.Medical care research and review : MCRR · 2007Pooled it
- Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis.BMC family practice · 2014Trial
- A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects.Implementation science : IS · 2013Trial
- Depression treatment in patients with general medical conditions: results from the CO-MED trial.Annals of family medicineTrial
- Structure and Function of a Provincial Renal Pharmacy Program: Applying the Chronic Care Model to Address Equitable Access to Medication and Pharmacy Services.Canadian journal of kidney health and disease · 2023Article
- Assessing the Quality of the Systems of Care for Children with Congenital Zika Virus Infection and Other Neurodevelopmental Disabilities in the United States Pacific Island Territories.Hawai'i journal of health & social welfare · 2020Article
- How do we strengthen the health workforce in a rapidly developing high-income country? A case study of Abu Dhabi's health system in the United Arab Emirates.Human resources for health · 2019Article
- Pushing chronic care forward in Abu Dhabi by identifying priorities and addressing barriers: a modified Delphi technique.BMJ open · 2018Article
- Convergences and divergences of diabetic patients' and healthcare professionals' opinions of care: a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Identifying and explaining the variability in development and implementation costs of disease management programs in the Netherlands.BMC health services research · 2014Article
- Developing an active implementation model for a chronic disease management program.International journal of integrated care · 2013Article
- Impact of care management processes and integration of care on blood pressure control in diabetes.BMC family practice · 2013Article
- Questionnaire of chronic illness care in primary care-psychometric properties and test-retest reliability.BMC health services research · 2011Article
- Reciprocal learning and chronic care model implementation in primary care: results from a new scale of learning in primary care.BMC health services research · 2011Article
- Implementation of a chronic illness model for diabetes care in a family medicine residency program.Journal of general internal medicine · 2010Article
- Structured chronic primary care and health-related quality of life in chronic heart failure.BMC health services research · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe wanted to test whether improvements in care quality were correlated with changes in the Chronic Care Model (CCM) in a large medical group that attempted to implement the CCM.
methodsThe leaders of 17 primary care clinics in this medical group completed the Assessing Chronic Illness Care (ACIC) survey measure of CCM implementation before and after care system changes were made. We used administrative data to measure care quality changes for yearly samples of patients with diabetes, coronary heart disease, or depression.
resultsThe total ACIC score for the CCM increased by an overall average of 1.4 points (from 5.8 to 7.2 on a scale of 1 to 11, P = .02) and significant increases occurred for 3 of the 6 components of the CCM. During this time, patients experienced a significant increase in the proportion meeting a composite outcome measure for low-density lipoprotein (LDL) and glycated hemoglobin levels (from 15.7% to 25.5%, P = .001). Heart disease patients meeting a composite measure for LDL values increased from 46.8% to 57.8%, and the percentage of patients with 1 or more cardiac events dropped from 17.2% to 11.4% (P = .001 for each). Persistent use of new antidepressants did not change, but more of these patients had follow-up visits (P = .02). Only the diabetes measure was significantly correlated with 2 CCM elements-clinical information systems and decision support.
conclusionDespite implementation of the CCM and improvements in quality measures for 3 chronic diseases, there were few significant correlations between these changes. Showing such a relationship may require larger changes, a larger number of clinics, changes in other CCM elements, or a more-sensitive measurement tool.
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