ArticleThe patient2023
Operationalizing the Chronic Care Model with Goal-Oriented Care.
Article in The patient, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 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
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness and Implementation of Digital Health Interventions on Physiological, Psychological, and Functional Outcomes in Adults With Multimorbidity: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Community-integrated noncommunicable disease service models: lessons from China.Journal of global health · 2025Pooled it
- Continuous glucose monitoring in type 2 diabetes: a systematic review of barriers and opportunities for care improvement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- Prioritisation Is Treatment: What Generalists Do When Guidelines Collide.Journal of general internal medicine · 2026Article
- What is Collaborative Care? Reexamining the Principles of Collaborative Care Through Scaling to Complex Populations and Settings.Journal of general internal medicine · 2026Article
- Beyond the Individual: Couple-Centered Health and Wellness Coaching to Address the Burden of Chronic Conditions.Preventing chronic disease · 2026Article
- Effectiveness of a chronic care model-based transitional care program for patients with biliary drainage: a randomized controlled trial.Annals of medicine and surgery (2012) · 2026Article
- Participatory Digital Twins for Chronic Care: From Predictive Models to Shared Sensemaking.Journal of participatory medicine · 2026Article
- Effect of Integrated Care Management Interventions on Post-hospitalization Utilization and Cost Outcomes for Adults with Multiple Chronic Conditions.Journal of general internal medicine · 2026Article
- Hypertension self-care practices and associated factors among people with hypertension on follow-up in selected public healthcare facilities in the Ashanti Region, Ghana. A multicentre cross-sectional survey.SAGE open medicine · 2026Article
- Health outcomes, financial protection, and cost-effectiveness of community chronic disease management in China: a cohort study.Frontiers in public health · 2026Observational
- Towards meaningful engagement: theoretical approaches guiding the participation of people living with multiple long-term conditions in health research - a scoping review.BMJ public health · 2026Article
- Patient-reported symptom profiles in vitamin BFrontiers in medicine · 2026Article
- Data-driven closed-loop health education: constructing an integrated assessment-intervention-feedback pathway for digital COPD management-a perspective.Frontiers in public health · 2026Article
- The impact of COVID-19 social disruptions on general-, mental- and substance use healthcare services among people with and without HIV in the United States.BMC health services research · 2025Article
- Key components of chronic care management programs: qualitative descriptions of care managers' practice.BMC health services research · 2025Article
- Consensus-Driven Evaluation of Current Practices and Innovation Feasibility in Chronic Brain Injury Rehabilitation.Healthcare (Basel, Switzerland) · 2025Article
- Achieving epilepsy care for all: Ecosystem-based transformation.Epilepsia · 2025Review
- Article
- Research on the impact of hospital organizational behavior on physicians'patient-centered care.Archives of public health = Archives belges de sante publique · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Chronic Care Model has guided quality improvement in health care for almost 20 years, using a patient-centered, disease management approach to systems and care teams. To further advance efforts in person-centered care, we propose strengthening the Chronic Care Model with the goal-oriented care approach. Goal-oriented care is person-centered in that it places the focus on what matters most to each person over the course of their life. The person's goals inform care decisions, which are arrived at collaboratively between clinicians and the person. In this paper, we build on each of the elements of the Chronic Care Model with person-centered, goal-oriented care and provide clinical examples on how to operationalize this approach. We discuss how this adapted approach can support our health care systems, in particular in the context of growing multi-morbidity.
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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.