The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model
Open accessAbstract
Given the increasing incidence of chronic diseases across the world, the search for more effective strategies to prevent and manage them is essential. The use of the Chronic Care Model (CCM) has assisted healthcare teams to demonstrate effective, relevant solutions to this growing challenge. However, the current CCM is geared to clinically oriented systems, and is difficult to use for prevention and health promotion practitioners. To better integrate aspects of prevention and health promotion into the CCM, an enhanced version called the Expanded Chronic Care Model is introduced. This new model includes elements of the population health promotion field so that broadly based prevention efforts, recognition of the social determinants of health, and enhanced community participation can also be part of the work of health system teams as they work with chronic disease issues.
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Self-management programs have become a primary focus of health service policy, redesign, and research, with delivery both in person and via telehealth care.
“As such, they have become a primary focus of health service policy, redesign, and research [9,12], with delivery both in person and via telehealth care.”
From Features of Structured, One-to-One Videoconference Interventions That Actively Engage People in the Management of Their Chronic Conditions: Scoping Review (2025) · cites this paper as [9]
The Self-Management / Develop Personal Skills section (page unavailable) treats self-management support as part of health-system and community action, and Delivery System Design / Re-orient Health Services (page unavailable) discusses service redesign, policy and research. The paper does not establish that self-management programs have become a primary focus of all three, or describe delivery via telehealth. (LLM, conf=0.83)
Experimental — accuracy not yet measuredActive client participation is a hallmark of "informed, activated patients" described in the widely endorsed chronic care model.
“In contrast to passive receipt of educational information, active client participation is a hallmark of “informed, activated patients” described in the widely endorsed chronic care model [9,10].”
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- Authors
- Barr, V., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D., & Salivaras, S.
- Affiliations
- Island Health (CA)
- Venue
- Healthcare Quarterly
- Publisher
- Longwoods Publishing
- Published
- 2003-11-15
- Volume
- 7
- Issue
- 1
- Pages
- 73-82
- ISSN
- 1710-2774 (ISSN-L)
- 1929-6347
- OpenAlex
- W2150565608
- Cited by
- 686
- References
- 26
- Citations by year
- 2026: 5 · 2025: 25 · 2024: 43 · 2023: 26 · 2022: 32 · 2021: 41 · 2020: 37 · 2019: 50 · 2018: 47 · 2017: 50 · 2016: 42 · 2015: 48 · 2014: 48 · 2013: 43 · 2012: 38
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Healthcare Quarterly (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 › Health, Nursing, Elderly Care
- Keywords
- Chronic Care Model, population health promotion, chronic disease prevention, chronic disease management, social determinants of health, community participation, integrated care model
- MeSH terms
- Canada, Chronic Disease, Health Policy, Health Promotion, Humans, Primary Prevention, Self Care, Incidence, Models, Organizational, Evidence-Based Medicine, Self Efficacy, Public Health Informatics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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