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Finding Common Ground: Patient-Centeredness and Evidence-Based Chronic Illness Care
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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“The intervention is based on the Chronic Care Self-Management Model (CCM).19–21”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [20]
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Metadata
- 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
- Publisher
- SAGE Publications
- 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 › Medicine › Family Practice › 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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