Home Is Where the Health Is: Advancing Team-Based Care in Chronic Disease Management
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Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs.
“Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs [2, 4–9].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [4]
Team-based care requires shared responsibility for outcomes and increases team members' dependence on one another to complete work.
“It requires shared responsibility for outcomes and increases team members’ dependence on one another to complete work [1, 3, 4].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [4]
Cites
Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freedland, K. E., & Carney, R. M. (1995) · New England Journal of Medicine · doi:10.1056/nejm199511023331806 · Cited by 2,326 · see citing works
The Care Transitions Intervention: Results of a Randomized Controlled Trial
Coleman, E. A., Parry, C., Chalmers, S., & Min, S.-J. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.17.1822 · Cited by 1,937 · see citing works
Evidence on the Chronic Care Model in the new millennium
Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009) · Health Affairs · doi:10.1377/hlthaff.28.1.75 · Cited by 1,606 · see citing works
Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial
Naylor, M. D., Brooten, D. A., Campbell, R. L., Maislin, G., McCauley, K. M., & Schwartz, J. S. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52202.x · Cited by 1,365 · see citing works
Clinical Pharmacists and Inpatient Medical Care
Kaboli, P. J., Hoth, A. B., McClimon, B. J., & Schnipper, J. L. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.9.955 · Cited by 881 · see citing works
Role of Pharmacist Counseling in Preventing Adverse Drug Events After Hospitalization
Schnipper, J. L., Kirwin, J. L., Cotugno, M. C., Wahlstrom, S. A., Brown, B. A., Tarvin, E., Kachalia, A. B., Horng, M. S., Roy, C. L., McKean, S. C. W., et al. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.5.565 · Cited by 792 · see citing works
Peikes, D. N., Chen, A., Schore, J., & Brown, R. (2009) · JAMA · doi:10.1001/jama.2009.126 · Cited by 781 · see citing works
Interventions used to improve control of blood pressure in patients with hypertension
Glynn, L. G., Murphy, A. W., Smith, S. M., Schroeder, K., & Fahey, T. P. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005182.pub4 · Cited by 669 · see citing works
The Patient-Centered Medical Home
Rittenhouse, D. R., & Shortell, S. M. (2009) · JAMA · doi:10.1001/jama.2009.691 · Cited by 369 · see citing works
Pharmacist Care of Patients With Heart Failure A Systematic Review of Randomized Trials
Koshman, S. L. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.7.687 · Cited by 338 · see citing works
Physician and Pharmacist Collaboration to Improve Blood Pressure Control
Carter, B. L. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.358 · Cited by 313 · see citing works
The impact of follow-up telephone calls to patients after hospitalization
Dudas, V., Bookwalter, T. C., Kerr, K., & Pantilat, S. Z. (2001) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)00966-4 · Cited by 296 · see citing works
Quality Improvement Strategies for Hypertension Management
Walsh, J. M. E., McDonald, K. M., Shojania, K. G., H, V. S. M. P., Nayak, S., Lewis, R., Owens, D. K., & Goldstein, M. K. (2006) · Medical Care · doi:10.1097/01.mlr.0000220260.30768.32 · Cited by 295 · see citing works
Continuous Innovation In Health Care: Implications Of The Geisinger Experience
Paulus, R. A., Davis, K. C., & Steele, G. D. (2008) · Health Affairs · doi:10.1377/hlthaff.27.5.1235 · Cited by 293 · see citing works
Impact of a Pharmacist-Facilitated Hospital Discharge Program
Walker, P. C. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.398 · Cited by 228 · see citing works
A pharmacy discharge plan for hospitalized elderly patients—a randomized controlled trial
Nazareth, I., Burton, A., Shulman, S., Smith, P., Haines, A., & Timberall, H. (2001) · Age and Ageing · doi:10.1093/ageing/30.1.33 · Cited by 189 · see citing works
Lipton, H. L., & Bird, J. A. (1994) · The Gerontologist · doi:10.1093/geront/34.3.307 · Cited by 164 · see citing works
Self-citationCase Management to Reduce Risk of Cardiovascular Disease in a County Health Care System
Ma, J. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.381 · Cited by 69 · see citing works
Role of pharmacists in the medical home
Bates, D. W. (2009) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp080667 · Cited by 32 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A Pooled Analysis of the Effect of Condoms in Preventing HSV-2 Acquisition
Martin, E. T., Krantz, E. M., Gottlieb, S. L., Magaret, A., Langenberg, A. G. M., Stanberry, L. R., Kamb, M. L., & Wald, A. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.177 · Cited by 148 · see citing works
A segmentation analysis for pharmacists' and patients' views of pharmacists' roles.
Schommer, J., & Gaither, C. A. (2014) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2013.10.004 · Cited by 78 · see citing works
McGuier, E. A., Kolko, D. J., Aarons, G. A., Schachter, A., Klem, M. L., Diabes, M. A., Weingart, L. R., Salas, E., & Wolk, C. B. (2024) · Implementation Science · doi:10.1186/s13012-024-01381-9 · Cited by 70 · see citing works
Approaches for improving continuity of care in medication management: a systematic review
Spinewine, A., Claeys, C., Foulon, V., & Chévalier, P. (2013) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzt032 · Cited by 65 · see citing works
McGuier, E. A., Aarons, G. A., Byrne, K. A., Campbell, K. A., Keeshin, B., Rothenberger, S. D., Weingart, L. R., Salas, E., & Kolko, D. J. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00393-8 · Cited by 23 · see citing works
Fachin‐Martins, E., de Sousa, P. H. C., Barbosa, P. H. F. D. A., de Menezes, L. T., & Costa, A. S. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2011.560332 · Cited by 22 · see citing works
McGuier, E. A., Kolko, D. J., Klem, M. L., Feldman, J. A., Kinkler, G., Diabes, M. A., Weingart, L. R., & Wolk, C. B. (2021) · Systematic Reviews · doi:10.1186/s13643-021-01747-w · Cited by 22 · see citing works
New models of care for advanced lung disease
Booth, S., Bausewein, C., & Rocker, G. M. (2011) · Progress in Palliative Care · doi:10.1179/1743291x11y.0000000016 · Cited by 20 · see citing works
Team Functioning and Performance in Child Advocacy Center Multidisciplinary Teams
McGuier, E. A., Rothenberger, S. D., Campbell, K. A., Keeshin, B. R., Weingart, L. R., & Kolko, D. J. (2022) · Child Maltreatment · doi:10.1177/10775595221118933 · Cited by 19 · see citing works
Irons, B. K., Meyerrose, G. E., Laguardia, S., Hazel, K., & Seifert, C. F. (2012) · Pharmacy Practice · doi:10.4321/s1886-36552012000100005 · Cited by 16 · see citing works
Lynn, L. A., Hess, B., Weng, W., Lipner, R. S., & Holmboe, E. S. (2012) · Health Affairs · doi:10.1377/hlthaff.2011.0907 · Cited by 15 · see citing works
Effect of an intensive metabolic control lifestyle intervention in type-2 diabetes patients
Gamiochipi-Cano, M., Cruz, M., Kumate, J., & Wacher, N. H. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.01.017 · Cited by 15 · see citing works
Tarraf, W., Jensen, G., & González, H. M. (2016) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-016-0491-2 · Cited by 15 · see citing works
Haines, S. L., DeHart, R. M., Hess, K. M., Marciniak, M. W., Mount, J. K., Phillips, B. B., Saseen, J. J., Flynn, A. A., & Zatzkin, S. W. (2010) · American Journal of Pharmaceutical Education · doi:10.5688/aj7410s5 · Cited by 12 · see citing works
Rahimi, K., Patel, A. A., & MacMahon, S. W. (2012) · PubMed · Cited by 11 · see citing works
Pharmacist Contributions to the U.S. Health Care System
Schommer, J. C., Planas, L. G., Johnson, K. A., Doucette, W. R., Gaither, C. A., Kreling, D. H., & Mott, D. A. (2010) · INNOVATIONS in pharmacy · doi:10.24926/iip.v1i1.190 · Cited by 11 · see citing works
Pharmacists and Health Reform: Go for It!
Lipton, H. L. (2010) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1592/phco.30.10.967 · Cited by 10 · see citing works
Self-citationIdentifying Work Setting Profile Factors From the Career Pathway Evaluation Program
Schommer, J. C., Sogol, E. M., & Brown, L. M. (2013) · American Journal of Pharmaceutical Education · doi:10.5688/ajpe779194 · Cited by 5 · see citing works
Aggarwal, M., Bourgeault, I. L., Dalo, S., Kokorelias, K. M., Greenberg, L. S., Kreutzweiser, B., Samson, K., Sorensen, L., Kemp, C., Schieck, D., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0328708 · Cited by 4 · see citing works
Building Community Pharmacy Work System Capacity for Medication Therapy Management
Schommer, J. C., Goncharuk, K., Kjos, A. L., Worley, M. M., & Owen, J. A. (2012) · INNOVATIONS in pharmacy · doi:10.24926/iip.v3i3.267 · Cited by 3 · see citing works
Mcdonough, T., Griffin, E., Page, A., Ellett, L. M. K., Etherton‐Beer, C., & Johnson, J. L. (2026) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-026-02166-4 · Cited by 1 · see citing works
Mcdonough, T., Ellett, L. M. K., Pano, A., Etherton‐Beer, C., Johnson, J. L., & Page, A. (2026) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2026.06.004 · Cited by 1 · see citing works
Katz, M. H. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.163
Klarich, M. J., Rea, R. W., Lal, T. M., Garcia, A. L., & Steffens, F. L. (2016) · Journal of Ambulatory Care Management · doi:10.1097/jac.0000000000000105
McGuier, E. A., Aarons, G. A., Byrne, K., Campbell, K. A., Keeshin, B. R., Rothenberger, S. D., Weingart, L. R., Salas, E., & Kolko, D. J. (2023) · Figshare · doi:10.6084/m9.figshare.22603369
McGuier, E. A., Kolko, D. J., Klem, M. L., Feldman, J. A., Kinkler, G., Diabes, M. A., Weingart, L. R., & Wolk, C. B. (2021) · Figshare · doi:10.6084/m9.figshare.14853032
McGuier, E. A., Kolko, D. J., Aarons, G. A., Schachter, A., Klem, M. L., Diabes, M. A., Weingart, L. R., Salas, E., & Wolk, C. B. (2024) · Figshare · doi:10.6084/m9.figshare.26749418
McGuier, E. A., Aarons, G. A., Byrne, K., Campbell, K. A., Keeshin, B. R., Rothenberger, S. D., Weingart, L. R., Salas, E., & Kolko, D. J. (2023) · Figshare · doi:10.6084/m9.figshare.22603366
McGuier, E. A., Kolko, D. J., Klem, M. L., Feldman, J. A., Kinkler, G., Diabes, M. A., Weingart, L. R., & Wolk, C. B. (2021) · Figshare · doi:10.6084/m9.figshare.14853026
McGuier, E. A., Kolko, D. J., Aarons, G. A., Schachter, A., Klem, M. L., Diabes, M. A., Weingart, L. R., Salas, E., & Wolk, C. B. (2024) · Figshare · doi:10.6084/m9.figshare.26749415
- Authors
- Lipton, H. L.
- Corresponding author
- Helene Levens Lipton
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2009-11-23
- Volume
- 169
- Issue
- 21
- Pages
- 1945
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W1509568957
- Cited by
- 30
- References
- 19
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 3 · 2016: 3 · 2013: 3 · 2012: 4
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- team-based care, chronic disease management, home health care, interprofessional collaboration, patient-centered care
- MeSH terms
- Allied Health Personnel, Chronic Disease, Continuity of Patient Care, Cost-Benefit Analysis, Medicare, Health Resources, Humans, Hypertension, Medicaid, Patient Care Team, Patient Discharge, Patient Readmission, Pharmacists, Pharmacy Service, Hospital, Physicians, Preventive Health Services, Reimbursement Mechanisms, United States, Randomized Controlled Trials as Topic, Patient Satisfaction, Disease Management, Interdisciplinary Communication
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