ReviewDiabetology & metabolic syndrome2016
The chronic care model for type 2 diabetes: a systematic review.
Review in Diabetology & metabolic syndrome, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
67 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Patient-reported experiences and patient-reported experience measures in primary care, home care, and community settings. A scoping review.Frontiers in rehabilitation sciences · 2026Pooled it
- Factors Influencing Medication Adherence Among Adults Living with Diabetes and Comorbidities: a Qualitative Systematic Review.Current diabetes reports · 2024Pooled it
- Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews.BMJ open · 2023Pooled it
- Effectiveness of the chronic care model for adults with type 2 diabetes in primary care: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- Individual-, Community-, and Health System-Level Barriers to Optimal Type 2 Diabetes Care for Inner-City African Americans: An Integrative Review and Model Development.The Diabetes educator · 2020Pooled it
- A systematic review of chronic disease management interventions in primary care.BMC family practice · 2018Pooled it
- Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis.PloS one · 2018Pooled it
- Effectiveness of chronic care models for the management of type 2 diabetes mellitus in Europe: a systematic review and meta-analysis.BMJ open · 2017Pooled it
- Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study.Journal of diabetes research · 2019Trial
- Diabetic and Obese Patient Clinical Outcomes Improve During a Care Management Implementation in Primary Care.Journal of primary care & community health · 2017 · on this mapTrial
- Evaluating the effectiveness of an empowerment program for self-care in type 2 diabetes: a cluster randomized trial.BMC public health · 2017Trial
- Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial.Journal of primary care & community healthTrial
- Managing dry eye disease in primary Sjögren's syndrome using the chronic care model: a single-group pre-post study.BMC ophthalmology · 2026Article
- Dietitians' Perceptions of the Obesity Care Pathway: Qualitative Insights on Access, Follow-Up, and Referral of Patients Living With Obesity.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Clinic practitioner and support staff perspectives on implementation strategies to increase patient referrals to diabetes self-management education and support services.Implementation science communications · 2026Article
- National and Subnational Models of Care That Support Primary Health Care: A Mixed-Methods Study.The International journal of health planning and management · 2026Article
- Predictors of Self-Care Behaviours Among Patients With Chronic Disease: A Multicountry Survey.Nursing research and practice · 2026Article
- Development of a collaborative chronic care model for management of cardiometabolic disease in low- and middle-income countries.PloS one · 2026Article
- Outcome measures after attending a specialist-led diabetes mellitus model of care in regional Victoria, Australia.Internal medicine journal · 2025Article
- The effect of Chronic Care Model-based follow-up on self-efficacy and patient-reported outcomes in COPD patients: a randomized controlled study.BMC nursing · 2025Article
7 more citing papers are in PubMed but not listed here.
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
The chronic care model (CCM) uses a systematic approach to restructure health care systems. The aim of this systematic review was to examine studies that evaluated different elements of the CCM in patients with type 2 diabetes mellitus (T2DM) and to assess the influence of the CCM on different clinical outcomes. There view was performed in the Medline and Cochrane Library electronic databases. The search was limited to randomized controlled trials conducted with T2DM patients. Studies were eligible for inclusion if they compared usual care with interventions that use done or more elements of the CCM and assessed the impact on clinical outcomes. After applying the eligibility criteria, 12 studies were included for data extraction. Of these, six showed evidence of effectiveness of the CCM for T2DM management in primary care as well as significant improvements in clinical outcomes. In the other six studies, no improvements regarding clinical outcomes were observed when comparing the intervention and control groups. Some limitations, such as a short follow-up period and a low number of patients, were observed. Some studies showed that the reorganization of health systems can improveT2DM care. However, it is possible that greater benefits could be obtained through combing all 6 elements of CCM.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.