Cited by 452Chronic Disease Management StrategiesPrimary Care and Health OutcomesPatient-Provider Communication in Healthcare

Finding Common Ground: Patient-Centeredness and Evidence-Based Chronic Illness Care

Wagner, Edward H., Bennett, Susan M., Austin, Brian T., Greene, Sarah M., Schaefer, Judith K., Vonkorff, Michael·2005·The Journal of Alternative and Complementary Medicine

Abstract

Health outcomes for patients with major chronic illnesses depend on the appropriate use of proven pharmaceuticals and other therapeutic technologies, and effective self-management by patients. Effective chronic illness care then bases clinical decisions on the best, rigorous scientific evidence, or evidence-based medicine. Effective support for patient self-management includes efforts to increase patient participation in care and collaborative goal-setting and planning of treatment. These interventions appear somewhat consistent with recent conceptualizations of patient-centered care. The consistent delivery of proven therapies and information and support for self-management requires practice systems organized for that purpose. The Chronic Care Model is a compilation of those practice system changes shown to improve chronic care. This paper explores the concept of patient-centeredness and its relationship to the Chronic Care Model. We conclude that the Model is both evidence-based and patient-centered and that these can be properties of health systems, and not just of individual practitioners.

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Crossref · 10.1089/acm.2005.11.s-7

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Authors
Wagner, E. H., Bennett, S. M., Austin, B. T., Greene, S. M., Schaefer, J. K., & Vonkorff, M.
Affiliations
Group Health Cooperative (US)
Venue
The Journal of Alternative and Complementary Medicine
Published
2005-12
Volume
11
Issue
supplement 1
Pages
s-7-s-15
ISSN
  • 1075-5535 (ISSN-L)
  • 1557-7708
OpenAlex
W2036006098
Cited by
452
References
61
Citations by year
2026: 7 · 2025: 14 · 2024: 11 · 2023: 19 · 2022: 15 · 2021: 18 · 2020: 20 · 2019: 22 · 2018: 25 · 2017: 30 · 2016: 29 · 2015: 30 · 2014: 49 · 2013: 28 · 2012: 39
FWCI
1.43
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Alternative and Complementary 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 › Patient-Provider Communication in Healthcare
Keywords
patient-centered care, Chronic Care Model, evidence-based medicine, chronic disease, self-management, patient participation, collaborative goal setting, health system organization
MeSH terms
Chronic Disease, Health Education, Health Promotion, Humans, Patient Care Planning, Patient Participation, Quality of Health Care, United States, Models, Organizational, Patient-Centered Care, Evidence-Based Medicine

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