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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Crossref · 10.2307/3350391

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(1991) · Medical Entomology and Zoology · Cited by 4,438
Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations
Grimshaw, J., & Russell, I. T. (1993) · The Lancet · doi:10.1016/0140-6736(93)92244-n · Cited by 2,791
A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure
Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freedland, K. E., & Carney, R. M. (1995) · New England Journal of Medicine · doi:10.1056/nejm199511023331806 · Cited by 2,327
Expanding Patient Involvement in Care
Greenfield, S., Kaplan, S. H., & Ware, J. E. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-102-4-520 · Cited by 1,459
The Nature of Suffering and the Goals of Medicine
Cassell, E. J. (1998) · Loss Grief & Care · doi:10.1300/j132v08n01_18 · Cited by 1,178
Patients’ participation in medical care
Greenfield, S., Kaplan, S. H., Ware, J. E., Yano, E. M., & Frank, H. J. L. (1988) · Journal of General Internal Medicine · doi:10.1007/bf02595921 · Cited by 1,117
Evidence for the effectiveness of CME. A review of 50 randomized controlled trials
Davis, D. A. (1992) · JAMA · doi:10.1001/jama.268.9.1111 · Cited by 1,065
Principles of Educational Outreach ('Academic Detailing') to Improve Clinical Decision Making
Soumerai, S. B. (1990) · JAMA · doi:10.1001/jama.1990.03440040088034 · Cited by 1,045
Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs
Lorig, K. R., Mazonson, P. D., & Holman, H. R. (1993) · Arthritis & Rheumatism · doi:10.1002/art.1780360403 · Cited by 871
Does Increased Access to Primary Care Reduce Hospital Readmissions?
Weinberger, M., Oddone, E. Ž., & Henderson, W. G. (1996) · New England Journal of Medicine · doi:10.1056/nejm199605303342206 · Cited by 796

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Miller, R. H., & West, C. E. (2007) · Health Affairs · doi:10.1377/hlthaff.26.1.206 · Cited by 72
Community-based primary health care for older adults: a qualitative study of the perceptions of clients, caregivers and health care providers
Lafortune, C., Huson, K., Santi, S., & Stolee, P. (2015) · BMC Geriatrics · doi:10.1186/s12877-015-0052-x · Cited by 74
Multilevel Factors Affecting Quality: Examples From the Cancer Care Continuum
Zapka, J. G., Taplin, S. H., Ganz, P. A., Grunfeld, E., & Sterba, K. R. (2012) · JNCI Monographs · doi:10.1093/jncimonographs/lgs005 · Cited by 76
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Rollman, B. L., Belnap, B. H., LeMenager, M. S., Mazumdar, S., Schulberg, H. C., & Reynolds, C. F. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181970c1c · Cited by 73
Attitudes regarding the collaborative practice model and treatment adherence among individuals with bipolar disorder
Sajatovic, M., Davies, M. A., Bauer, M. S., McBride, L., Hays, R. W., Safavi, R., & JENKINS, J. H. (2005) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.10.007 · Cited by 72
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Vrijhoef, H. J., Spreeuwenberg, C., Eijkelberg, I. M. J. G., Wolffenbuttel, B. H. R., & van Merode, G. G. (2001) · BMJ · doi:10.1136/bmj.323.7319.983 · Cited by 71
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Zgibor, J. C., Orchard, T. J., Saul, M. I., Piatt, G., Ruppert, K. M., Stewart, A. F., & Siminerio, L. M. (2006) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2006.07.007 · Cited by 71
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Association Between Outpatient Follow-Up and Pediatric Emergency Department Asthma Visits
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Grant, R. W., Cagliero, E., Sullivan, C. M., Dubey, A. K., Estey, G. A., Weil, E., Gesmundo, J., Nathan, D. M., Singer, D. E., Chueh, H. C., et al. (2004) · Diabetes Care · doi:10.2337/diacare.27.10.2299 · Cited by 71
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Lee, L. S., Hillier, L. M., Heckman, G. A., Gagnon, M., BORRIE, M. J., Stolee, P., & Harvey, D. W. (2014) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980814000233 · Cited by 70
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Patrick, K., Pratt, M., & Sallis, R. E. (2009) · Journal of Physical Activity and Health · doi:10.1123/jpah.6.s2.s211 · Cited by 70
Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis
Suter, E., Oelke, N. D., Lima, M. A. D. D. S., Stiphout, M., Janke, R., Witt, R. R., Vliet-Brown, C. V., Schill, K., Rostami, M., Hepp, S. L., et al. (2017) · International Journal of Integrated Care · doi:10.5334/ijic.3931 · Cited by 73
Illness‐related impoverishment in rural South Africa: Why does social protection work for some households but not others?
Goudge, J., Russell, S., Gilson, L., Gumede, T., Tollman, S. M., & MILLS, A. J. (2009) · Journal of International Development · doi:10.1002/jid.1550 · Cited by 69
Reducing Health Disparities in Depressive Disorders Outcomes between Non-Hispanic Whites and Ethnic Minorities
Voorhees, B. W. V., Walters, A. E., Prochaska, M. T., & Quinn, M. T. (2007) · Medical Care Research and Review · doi:10.1177/1077558707305424 · Cited by 68
Person-centred mental health care: the challenge of implementation
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Glucose Control, Self-Care Behaviors, and the Presence of the Chronic Care Model in Primary Care Clinics
Parchman, M. L., Pugh, J. A., Wang, C.-P., & Romero, R. L. (2007) · Diabetes Care · doi:10.2337/dc06-2516 · Cited by 69
The Business Case for Diabetes Disease Management for Managed Care Organizations
Beaulieu, N. D., Cutler, D., Ho, K., Isham, G. J., Lindquist, T., Nelson, A., & O’Connor, P. J. (2006) · Forum for Health Economics & Policy · doi:10.2202/1558-9544.1072 · Cited by 70
Primary Care Physician Visit Continuity: A Comparison of Patient-reported and Administratively Derived Measures
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Duloxetine treatment for relapse prevention in adults with generalized anxiety disorder: a double-blind placebo-controlled trial.
Davidson, J., Wittchen, H., Llorca, P., Erickson, J., Detke, M., Ball, S., & Russell, J. M. (2008) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2008.05.002 · Cited by 71
Clinical Effort Against Secondhand Smoke Exposure: Development of Framework and Intervention
Winickoff, J. P., Park, E. R., Walters, B. H., Berkowitz, A. B., Vieira, C., Friebely, J., Healey, E. A., & Rigotti, N. A. (2008) · PEDIATRICS · doi:10.1542/peds.2008-0478 · Cited by 68
Vascular risk management through nurse-led self-management programs
Sol, B. G. M., van der Bijl, J. J., Banga, J.-D., & Visseren, F. L. J. (2005) · Journal of Vascular Nursing · doi:10.1016/j.jvn.2004.12.003 · Cited by 71
Provider views on childhood obesity management in primary care settings: a mixed methods analysis
Rhee, K. E., Kessl, S., Lindback, S., Littman, M., & El-Kareh, R. E. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-2870-y · Cited by 68
The Quality Improvement for Depression Collaboration: general analytic strategies for a coordinated study of quality improvement in depression care
ROST, K. M., Duan, N., Rubenstein, L. V., Ford, D. E., Sherbourne, C. D., Meredith, L. S., & Wells, K. B. (2001) · General Hospital Psychiatry · doi:10.1016/s0163-8343(01)00157-8 · Cited by 68
Organising health care services for persons with an intellectual disability
Balogh, R. S., Ouellette-Kuntz, H. M. J., Bourne, L., Lunsky, Y., & Colantonio, A. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007492 · Cited by 68
Managing Chronic Conditions with a Smartphone-based Conversational Virtual Agent
Bickmore, T. W., Kimani, E., Trinh, H., Pusateri, A., Paasche-Orlow, M. K., & Magnani, J. W. (2018) · Proceedings of the 18th International Conference on Intelligent Virtual Agents · doi:10.1145/3267851.3267908 · Cited by 67
Integrated care programs for patients with psychological comorbidity: A systematic review and meta-analysis
Lemmens, L. C., Molema, C. C. M., Versnel, N., Baan, C. A., & de Bruin, S. R. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.07.013 · Cited by 67
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COHEN, A. B., Restuccia, J. D., Shwartz, M., Drake, J. E., Kang, R., Kralovec, P. D., Holmes, S. K., Margolin, F. S., & Bohr, D. (2008) · Medical Care Research and Review · doi:10.1177/1077558708318285 · Cited by 67
Harnessing the potential of the Internet to promote chronic illness self-management: diabetes as an example of how well we are doing
Bull, S. S., Gaglio, B., McKay, H. G., & Glasgow, R. E. (2005) · Chronic Illness · doi:10.1177/17423953050010021101 · Cited by 67
Self-assessment of practice performance: Development of the ABIM Practice Improvement Module (PIMSM)
Duffy, D. F., Lynn, L. A., Didura, H., Hess, B., Caverzagie, K. J., Grosso, L. J., LIPNER, R., & Holmboe, E. S. (2008) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.154 · Cited by 67
Complete Care at Kaiser Permanente: Transforming Chronic and Preventive Care
Kanter, M. H., Lindsay, G., Bellows, J., & Chase, A. (2013) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(13)39064-3 · Cited by 67
Transforming our health care system: ten priorities for commissioners
Imison, C. (2015) · Cited by 67
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Siegler, A. J., Steehler, K., Sales, J. M., & Krakower, D. (2020) · Current HIV/AIDS Reports · doi:10.1007/s11904-020-00528-9 · Cited by 70
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Chen, W., O’Bryan, C. M., Gorham, G., Howard, K., Balasubramanya, B., Coffey, P., Abeyaratne, A., & Cass, A. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00326-x · Cited by 69
Supporting self-care in general practice.
Greaves, C. J., & Campbell, J. L. (2007) · PubMed Central · Cited by 65
Psychologists and Primary Care Physicians: A Training Model for Creating Collaborative Relationships
Bluestein, D. A., & Cubic, B. A. (2009) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-009-9156-9 · Cited by 66
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Warshaw, G. A., Bragg, E. J., Fried, L. P., & Hall, W. J. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.01940.x · Cited by 66
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Hegel, M. T., Imming, J., Cyr‐Provost, M., Noël, P. H., Areán, P. A., & Unützer, J. (2002) · Families Systems & Health · doi:10.1037/h0089475 · Cited by 66
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Kelleher, K. J., & Stevens, J. H. (2009) · Academic Pediatrics · doi:10.1016/j.acap.2008.11.008 · Cited by 64
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Meltzer, D., & Ruhnke, G. W. (2014) · Health Affairs · doi:10.1377/hlthaff.2014.0072 · Cited by 65
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Kroenke, K., Krebs, E., Wu, J., Bair, M. J., Damush, T., Chumbler, N., York, T., Weitlauf, S., McCalley, S., Evans, E., et al. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2012.11.008 · Cited by 63
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Kong, J., Zhu, L., Wang, H., Li, Y., Guo, A.-Y., Gao, C., Miao, Y.-Y., Wang, T., Lu, X., Zhu, H., et al. (2019) · Journal of Diabetes Research · doi:10.1155/2019/6516581 · Cited by 63
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Bailie, R. S., Si, D., Togni, S. J., Robinson, G., & D'Abbs, P. H. (2004) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2004.tb06235.x · Cited by 63
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Cramm, J. M., & Nieboer, A. P. (2012) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-10-104 · Cited by 63
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Primary care mental health workers: models of working and evidence of effectiveness.
Bower, P. (2002) · Europe PMC (PubMed Central) · Cited by 60
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Yeung, A., Kung, W. W., Chung, H., Rubenstein, G., Roffi, P. A., Mischoulon, D., & D, M. F. M. (2004) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2004.03.008 · Cited by 63
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Rollman, B. L., Anderson, A. M., Rothenberger, S. D., Abebe, K. Z., Ramani, R. N., Muldoon, M. F., Jakicic, J. M., Belnap, B. H., & Karp, J. F. (2021) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2021.4978 · Cited by 63
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Comino, E. J., Davies, G. P., Krastev, Y., Haas, M. R., Christl, B., Furler, J., Raymont, A., & Harris, M. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-415 · Cited by 62
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Care plans and care planning in long-term conditions: a conceptual model
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Bauer, M. S., Miller, C., Kim, B., Lew, R., Weaver, K. R., Coldwell, C. M., Henderson, K., Holmes, S. K., Seibert, M. N., Stolzmann, K. L., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0385-7 · Cited by 62
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Connor, K. I., Cheng, E. M., Barry, F., Siebens, H. C., Lee, M. L., Ganz, D. A., Mittman, B. S., Connor, M. K., Edwards, L. K., McGowan, M. G., et al. (2019) · Neurology · doi:10.1212/wnl.0000000000007324 · Cited by 62
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Speerin, R., Needs, C., Chua, J., Woodhouse, L. J., Nordin, M. C., McGlasson, R. A., & Briggs, A. M. (2020) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2020.101548 · Cited by 66
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Aragones, A., Schaefer, É., Stevens, D. L., Gourevitch, M. N., Glasgow, R. E., & Shah, N. R. (2008) · PubMed Central · Cited by 62
Management of Heart Failure in the Elderly
Rich, M. W. (2002) · Heart Failure Reviews · doi:10.1023/a:1013706023974 · Cited by 63
Twenty‐First century graduate education in clinical psychology: A four level matrix model
Snyder, C. R. R., & Elliott, T. R. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20164 · Cited by 63
Improving access to psychosocial interventions for common mental health problems in the United Kingdom: narrative review and development of a conceptual model for complex interventions
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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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