ArticleJournal of the American Board of Family Medicine : JABFM
Features of the Chronic Care Model (CCM) associated with behavioral counseling and diabetes care in community primary care.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews.BMJ open · 2023Pooled it
- Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review.BMC health services research · 2016Pooled it
- Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review.BMC health services research · 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
- Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC.Implementation science : IS · 2016Trial
- Supporting Practices to Adopt Registry-Based Care (SPARC): protocol for a randomized controlled trial.Implementation science : IS · 2015Trial
- Navigating diabetes care inequities: an observational study linking chronic care model's structural elements to process and outcomes of type 2 diabetes care in Belgium.International journal for equity in health · 2025Observational
- Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study.BMC health services research · 2023Article
- Validation and the Reliability of the ACIC Questionnaire in the Primary Health Care Setting: a Study from Bosnia and Herzegovina.Acta medica academica · 2022Article
- Type 2 diabetes: patient assessment of chronic illness care.Journal of diabetes and metabolic disorders · 2021Article
- Determining minimum set of features for diabetes mobile apps.Journal of diabetes and metabolic disorders · 2019Article
- Conformity of Diabetes Mobile apps with the Chronic Care Model.BMJ health & care informatics · 2019Article
- Patients living with disabilities: The need for high-quality primary care.Canadian family physician Medecin de famille canadien · 2016Article
- The chronic care model for type 2 diabetes: a systematic review.Diabetology & metabolic syndrome · 2016Review
- Implementing healthy lifestyle promotion in primary care: a quasi-experimental cross-sectional study evaluating a team initiative.BMC health services research · 2015Article
- Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study.BMC family practice · 2014Article
- Application of a health-related quality of life conceptual model in community-dwelling older Chinese people with diabetes to understand the relationships among clinical and psychological outcomes.Journal of diabetes investigation · 2014Article
- Diffusion of a collaborative care model in primary care: a longitudinal qualitative study.BMC family practice · 2013Article
- Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland.Health and quality of life outcomes · 2010Article
- Physician recommendation and patient adherence for colorectal cancer screening.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe Chronic Care Model (CCM) was developed to improve chronic disease care, but it may also inform delivery of other types of preventive care. Using hierarchical analyses of service delivery to patients, we explored associations of CCM implementation with diabetes care and counseling for diet or weight loss and physical activity in community-based primary care offices.
methodsSecondary analysis focused on baseline data from 25 practices (with an average of 4 physicians per practice) participating in an intervention trial targeting improved colorectal cancer screening rates. This intervention made no reference to the CCM. CCM implementation was measured through staff and clinical management surveys and was associated with patient care indicators (chart audits and patient questionnaires).
resultsOverall, practices had low levels of CCM implementation. However, higher levels of CCM implementation were associated with better diabetes assessment and treatment of patients (P = .009 and .015, respectively), particularly among practices open to "innovation." Physical activity counseling for obese and, particularly, overweight patients was strongly associated with CCM implementation (P = .0017), particularly among practices open to "innovation"; however, this association did not hold for overweight and obese patients with diabetes.
conclusionsVery modest levels of CCM implementation in unsupported primary care practices are associated with improved care for patients with diabetes and higher rates of behavioral counseling. Incremental incorporation of CCM components is an option, especially for community practices with stretched resources and with cultures of "innovativeness."
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