Chronic care model strategies in the United States and Germany deliver patient-centered, high-quality diabetes care
Abstract
Improving the quality of care for chronic diseases is an important issue for most health care systems in industrialized nations. One widely adopted approach is the Chronic Care Model (CCM), which was first developed in the late 1990s. In this article we present the results from two large surveys in the United States and Germany that report patients' experiences in different models of patient-centered diabetes care, compared to the experiences of patients who received routine diabetes care in the same systems. The study populations were enrolled in either Geisinger Health System in Pennsylvania or Barmer, a German sickness fund that provides medical insurance nationwide. Our findings suggest that patients with type 2 diabetes who were enrolled in the care models that exhibited key features of the CCM were more likely to receive care that was patient-centered, high quality, and collaborative, compared to patients who received routine care. This study demonstrates that quality improvement can be realized through the application of the Chronic Care Model, regardless of the setting or distinct characteristics of the program.
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An integrated, structured approach to AF care, as applied successfully to other domains of medicine, will facilitate consistent, guideline-adherent AF management for all patients, with the potential to improve outcomes.
“An integrated, structured approach to AF care, as applied successfully to other domains of medicine, 322-324 will facilitate consistent, guideline-adherent AF management for all patients 325 (Figure 6), with the potential to improve outcomes.”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [323]
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- Authors
- Stock, S., Pitcavage, J. M., Simic, D., Altin, S., Graf, C., Feng, W., & Graf, T. R.
- Affiliations
- University Hospital Cologne (DE)
- Pennsylvania State University (US)
- Dusan Simic is a scientific associate at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne.
- Christian Graf is head of the Department of Product Development, Health Care Management, and Prevention at Barmer, in Wuppertal, Germany.
- Geisinger Health System (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-09
- Volume
- 33
- Issue
- 9
- Pages
- 1540-1548
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2027009401
- Cited by
- 44
- References
- 26
- Citations by year
- 2024: 4 · 2023: 1 · 2022: 2 · 2021: 12 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 7 · 2015: 4
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- Chronic Care Model, type 2 diabetes, patient-centered care, quality of care, patient experience, care coordination, quality improvement, models of care, Geisinger Health System, Barmer, United States and Germany comparison
- MeSH terms
- Chronic Disease, Cross-Sectional Studies, Delivery of Health Care, Diabetes Mellitus, Type 2, Female, Germany, Health Services Research, Humans, Male, Pennsylvania, Quality of Health Care, United States, Models, Organizational, Patient-Centered Care, Disease Management, Quality Improvement
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