Cited by 2,877Chronic Disease Management StrategiesPrimary Care and Health OutcomesHealthcare Systems and Technology

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Organizing Care for Patients with Chronic Illness

Wagner, Edward H., Austin, Brian T., Korff, Michael Von·1996·The Milbank Quarterly

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Abstract

Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems. The medical literature suggests strategies to improve outcomes in these patients. Effective interventions tend to fall into one of five areas: the use of evidence-based, planned care; reorganization of practice systems and provider roles; improved patient self-management support; increased access to expertise; and greater availability of clinical information. The challenge is to organize these components into an integrated system of chronic illness care. Whether this can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care remains unanswered.

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Authors: Wagner, E. H., Austin, B. T., & Korff, M. V.
Affiliations: Group Health Cooperative (US)
ORCID: Wagner, Edward H.
Venue: The Milbank Quarterly
Publisher: JSTOR
Published: 1996
Volume: 74
Issue: 4
Pages: 511
ISSN: 0887-378X (ISSN-L)
DOI: 10.2307/3350391
OpenAlex: W2062797692
Cited by: 2,877
References: 123
Citations by year: 2026: 53 · 2025: 55 · 2024: 84 · 2023: 95 · 2022: 110 · 2021: 139 · 2020: 104 · 2019: 148 · 2018: 130 · 2017: 137 · 2016: 136 · 2015: 151 · 2014: 150 · 2013: 152 · 2012: 151
FWCI: 14.92
Type: journal article
Language: en
Open access: closed
Locations: Milbank Quarterly (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
Keywords: chronic care, care organization, primary care, managed care, integrated health system, evidence-based care, patient self-management, clinical data, provider role, care coordination
MeSH terms: Chronic Disease, Continuity of Patient Care, Humans, Patient Education as Topic, Primary Health Care, United States, Randomized Controlled Trials as Topic, Models, Organizational, Patient-Centered Care, Disease Management

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Organizing Care for Patients with Chronic Illness

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