The DOI matches its Crossref record.
Collaborative Management of Chronic Illness
Abstract
In chronic illness, day-to-day care responsibilities fall most heavily on patients and their families. Effective collaborative relationships with health care providers can help patients and families better handle self-care tasks. Collaborative management is care that strengthens and supports self-care in chronic illness while assuring that effective medical, preventive, and health maintenance interventions take place. In this paper, the following essential elements of collaborative management developed in light of behavioral principles and empirical evidence about effective care in chronic illness are discussed: 1) collaborative definition of problems, in which patient-defined problems are identified along with medical problems diagnosed by physicians; 2) targeting, goal setting, and planning, in which patients and providers focus on a specific problem, set realistic objectives, and develop an action plan for attaining those objectives in the context of patient preferences and readiness; 3) creation of a continuum of self-management training and support services, in which patients have access to services that teach skills needed to carry out medical regimens, guide health behavior changes, and provide emotional support; and 4) active and sustained follow-up, in which patients are contacted at specified intervals to monitor health status, identify potential complications, and check and reinforce progress in implementing the care plan. These elements make up a common core of services for chronic illness care that need not be reinvented for each disease.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“There is a growing body of evidence that shows supporting people to self-manage their health and care can lead to improvements in clinical and humanistic outcomes [12–18], reducing the economic impact of chronic disease and a means of contributing to the sustainability of the global healthcare system.”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [13]
In the citing paper
“Similar trends have been found in existing literature in several contexts that self-management is essential to optimizing clinical and humanistic outcomes for patients with chronic conditions [13, 15, 18, 152–155].”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [13]
In the citing paper
“For effective medical care of chronic illness, such as Type 2 diabetes mellitus (T2DM), adequate and sustainable self-management initiated by patients is important [1-3].”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [1]
Citations
Cited by
Sorted by citations
Items 101–200 of 998
Economic Benefits of Self-Management Education in COPD
Bourbeau, J., Collet, J., Schwartzman, K., Ducruet, T., Nault, D., & Bradley, C. A. (2006) · CHEST Journal · doi:10.1378/chest.130.6.1704 · Cited by 188
Rotondi, A. J., Sinkule, J., Balzer, K., Harris, J. R., & Moldovan, R. (2007) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-200701000-00002 · Cited by 194
“Interview content was analyzed using methods described by Miles and Huberman35: (1) data reduction, which consisted of identifying needs from the interviews; (2) organizing the needs into major themes; and (3) developing and verifying conclusions from the themes and needs.”
BackgroundMethodSelf-management Counseling in Patients With Heart Failure
Powell, L. H., Calvin, J. E., Richardson, D., Janssen, İ., de Leon, C. F. M., Flynn, K. J., Grady, K. L., Rucker-Whitaker, C. S., Eaton, C., Avery, E., et al. (2010) · JAMA · doi:10.1001/jama.2010.1362 · Cited by 195
“Like any chronic illness, heart failure should be managed collaboratively, such that the clinician prescribes evidence-based therapy and an informed, proactive patient implements it.(29,30) To enable patients to be proactive, we reasoned that heart failure education should be augmented by training in self-management s…”
BackgroundHolmboe, E. S. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.13.1396 · Cited by 187
Norris, S. L., Glasgow, R. E., Engelgau, M. M., O’Connor, P. J., & McCulloch, D. K. (2003) · Disease Management & Health Outcomes · doi:10.2165/00115677-200311080-00001 · Cited by 191
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2009) · Diabetes Care · doi:10.2337/dc10-s089 · Cited by 212
“In addition, documentation of patient encounters guides the educational process, provides evidence of communication among instructional staff, may prevent duplication of services, and provides information on adherence to guidelines (37,64,100,131,153).”
BackgroundKolko, D. J., & Perrin, E. C. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.862804 · Cited by 189
Measuring therapeutic alliance between oncologists and patients with advanced cancer
Mack, J. W., Block, S. D., Nilsson, M. E., Wright, A. A., Trice, E. D., Friedlander, R. J., Paulk, E., & Prigerson, H. G. (2009) · Cancer · doi:10.1002/cncr.24360 · Cited by 182
“$31,000-50,999 36 (17) $51,000-99,999 38 (18) ‡$100,000 27 (13) Do not know 42 (20) Refused/missing 10 (5) Health insurance 171/213 (80)”
Haberer, J. E., Sabin, L., Amico, K. R., Orrell, C., Galárraga, O., Tsai, A. C., Vreeman, R., Wilson, I. B., Sam-Agudu, N. A., Blaschke, T. F., et al. (2017) · Journal of the International AIDS Society · doi:10.7448/ias.20.1.21371 · Cited by 192
Khan, N. A., Spencer, H. J., Abda, E., Aggarwal, A., Alten, R., Ancuța, C., Andersone, D., Bergman, M. J., Craig‐Muller, J., Detert, J., et al. (2011) · Arthritis Care & Research · doi:10.1002/acr.20685 · Cited by 181
“patients to be more confident in expressing their concerns and thoughts, in prioritizing their problems, and in discussing their expectations or goals from health care, leading to shared goals and understanding of roles and responsibilities (2,3).”
BackgroundNational Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2011) · Diabetes Care · doi:10.2337/dc12-s101 · Cited by 188
“In addition, documentation of patient encounters guides the educational process, provides evidence of communication among instructional staff, may prevent duplication of services, and provides information on adherence to guidelines (37,64,100,131,153).”
BackgroundManaging depression as a chronic disease: a randomised trial of ongoing treatment in primary care
ROST, K. M. (2002) · BMJ · doi:10.1136/bmj.325.7370.934 · Cited by 177
Lackner, J. M., Jaccard, J., Krasner, S. S., Katz, L. A., Gudleski, G. D., & Holroyd, K. (2008) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2008.03.004 · Cited by 176
Patient Activation and Adherence to Physical Therapy in Persons Undergoing Spine Surgery
Skolasky, R. L., MacKenzie, E. J., Wegener, S. T., & Riley, L. H. (2008) · Spine · doi:10.1097/brs.0b013e31818027f1 · Cited by 178
“An activated patient is one who is armed with the skills, knowledge, and motivation to be an effective member of the healthcare team.(7)”
BackgroundIndividualized stepped care of chronic illness
Korff, M. V. (2000) · Western Journal of Medicine · doi:10.1136/ewjm.172.2.133 · Cited by 177
Self-citationCollaborative care needs and preferences of primary care patients with multimorbidity
Noël, P. H., Frueh, B. C., Larme, A. C., & Pugh, J. A. (2005) · Health Expectations · doi:10.1111/j.1369-7625.2004.00312.x · Cited by 176
Scott, J. C., Conner, D. A., Venohr, I., Gade, G., McKenzie, M., Kramer, A. M., Bryant, L. L., & Beck, A. L. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52408.x · Cited by 176
“Providers are better able to understand each patient’s capabilities, detect adverse events and complications, check care plan adherence, encourage self care, and recognize a patient’s failure to respond to treatment.(13,19) Other types of regular follow-up that have been shown to be effective include telephone follow-…”
BackgroundReport of the Health Care Delivery Work Group
Glasgow, R. E., Hiss, R. G., Anderson, R. M., Friedman, N. M., Hayward, R. A., Marrero, D. G., Taylor, C. B., & Vinicor, F. (2001) · Diabetes Care · doi:10.2337/diacare.24.1.124 · Cited by 174
Adherence to Treatment: The Key for Avoiding Long-Term Complications of Diabetes
Lerman, I. G. (2005) · Archives of Medical Research · doi:10.1016/j.arcmed.2004.12.001 · Cited by 168
An Evaluation of Collaborative Interventions to Improve Chronic Illness Care
Cretin, S., Shortell, S. M., & Keeler, E. B. (2004) · Evaluation Review · doi:10.1177/0193841x03256298 · Cited by 165
“Individual organizations report better process, outcomes, or costs (Von Korff et al. 1997; Wagner, Austin, and Von Korff 1996) from adopting CCM interventions, but such observational studies are only suggestive.”
BackgroundUnützer, J., Katon, W. J., Sullivan, M., & Miranda, J. (1999) · Milbank Quarterly · doi:10.1111/1468-0009.00132 · Cited by 160
Population-based care of depression: Effective disease management strategies to decrease prevalence
Katon, W. J., Korff, M. V., Lin, E. H. B., Unützer, J., Simon, G., Walker, E., Ludman, E. J., & Bush, T. M. (1997) · General Hospital Psychiatry · doi:10.1016/s0163-8343(97)00016-9 · Cited by 164
Self-citationTinetti, M. E. (2002) · JAMA · doi:10.1001/jama.287.16.2098 · Cited by 163
Marrero, D. G., Ard, J., Delamater, A. M., Peragallo-Dittko, V., Mayer-Davis, E. J., Nwankwo, R., & Fisher, E. B. (2013) · Diabetes Care · doi:10.2337/dc12-2305 · Cited by 159
“Clinicians and their ecology The importance of the quality of the patient-doctor relationship is reflected in findings that those who are satisfied with their relationship with their doctors have better adherence to diabetes treatment plans (61), whereas patients who rate their clinician communication as poor have low…”
BackgroundThe Case for Chronic Disease Management for Addiction
Saitz, R., Larson, M. J., LaBelle, C. T., Richardson, J. M., & Samet, J. H. (2008) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e318166af74 · Cited by 166
Health Care Communication Issues in Multiple Sclerosis: An Interpretive Description
Thorne, S. E., Con, A. H., McGuinness, L., McPherson, G., & Harris, S. R. (2004) · Qualitative Health Research · doi:10.1177/1049732303259618 · Cited by 160
Gifford, A. L., Bormann, J. E., Shively, M. J., Wright, B. C., Richman, D. D., & Bozzette, S. A. (2000) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/00042560-200004150-00005 · Cited by 156
Prorok, J. C., Horgan, S. A., & Seitz, D. P. (2013) · Canadian Medical Association Journal · doi:10.1503/cmaj.121795 · Cited by 169
“Education and interventions to equip people with self-management skills and resources have been shown to improve outcomes for a variety of chronic diseases in primary care, and these strategies may also be of benefit in coping with dementia.(84) The introduction of services, such as dementia care managers, in primary…”
BackgroundSupporting self-management in children and adolescents with complex chronic conditions
Lozano, P., & Houtrow, A. (2018) · PEDIATRICS · doi:10.1542/peds.2017-1284h · Cited by 158
The Hypertension Team: The Role of the Pharmacist, Nurse, and Teamwork in Hypertension Therapy
Carter, B. L., Bosworth, H. B., & Green, B. B. (2011) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2011.00542.x · Cited by 163
“14, 15, 17-21, 24, 25 This model of care recognizes a collaborative partnership between the patient, provider and the care team, each with their own expertise in managing that person’s health, and who share in the decision making process.”
Self-management education programmes for osteoarthritis
Pitt, V. J., O’Connor, D. A., French, S. D., Osborne, R. H., & Buchbinder, R. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008963 · Cited by 154
Diagnosis of irritable bowel syndrome
Olden, K. W. (2002) · Gastroenterology · doi:10.1053/gast.2002.33741 · Cited by 152
Behavioral and Diet Therapies in Integrated Care for Patients With Irritable Bowel Syndrome
Chey, W. D., Keefer, L., Whelan, K., & Gibson, P. R. (2021) · Gastroenterology · doi:10.1053/j.gastro.2020.06.099 · Cited by 154
Glasgow, R. E., Wagner, E. H., Kaplan, R. M., Vinicor, F., Smith, L. A., & Norman, J. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02908297 · Cited by 152
Self-citationLin, E. H. B., Von Korff, M., Ciechanowski, P., Peterson, D., Ludman, E. J., Rutter, C. M., Oliver, M., Young, B. A., Gensichen, J., McGregor, M., et al. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1343 · Cited by 150
Self-citationHealth literacy and cancer self‐management behaviors: A scoping review
Papadakos, J., Hasan, S. M., Barnsley, J. M., Berta, W. B., Fazelzad, R., Papadakos, C. J., Giuliani, M., & Howell, D. (2018) · Cancer · doi:10.1002/cncr.31733 · Cited by 156
Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial
Strasser, D. C., Falconer, J. A., Stevens, A. B., Uomoto, J. M., Herrin, J. S., Bowen, S. E., & Burridge, A. B. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.08.127 · Cited by 149
Piette, J. D., Richardson, C. R., & Valenstein, M. M. (2004) · PubMed · Cited by 146
Pediatric Atopic Eczema: The Impact of an Educational Intervention
Grillo, M., Gassner, L., Marshman, G., Dunn, S. V., & Hudson, P. (2006) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2006.00277.x · Cited by 146
“Study findings are consistent with research that has shown that patients can effectively selfmanage their illness if provided with the necessary skills (8,20).”
ResultAbernethy, A. P., Herndon, J. E., Wheeler, J. L., Patwardhan, M. B., Shaw, H., Lyerly, H. K., & Weinfurt, K. P. (2008) · Health Services Research · doi:10.1111/j.1475-6773.2008.00887.x · Cited by 141
Leykum, L. K., Pugh, J. A., Lawrence, V. A., Parchman, M. L., Noël, P. H., Cornell, J. E., & McDaniel, R. R. (2007) · Implementation Science · doi:10.1186/1748-5908-2-28 · Cited by 147
Organising care for chronic illness
Korff, M. V., Glasgow, R. E., & Sharpe, M. (2002) · BMJ · doi:10.1136/bmj.325.7355.92 · Cited by 138
Self-citationThe context of health care communication in chronic illness
Thorne, S. E., Harris, S. R., Mahoney, K., Con, A. H., & McGuinness, L. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2003.11.009 · Cited by 139
“Communication between professional health care providers and persons affected by chronic disease has long been recognized as critically important to providing care and supporting self care management [9–13].”
BackgroundStepped Care for Back Pain: Activating Approaches for Primary Care
Korff, M. V., & Moore, J. C. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-9_part_2-200105011-00016 · Cited by 140
“As with other services for chronic illness management, full implementation of the proposed stepped-care model may require significant reorganization of services (2, 26, 27).”
BackgroundSelf-citationPrimary care patients' personal illness models for depression: a preliminary investigation
Brown, C., Dunbar‐Jacob, J. M., Palenchar, D. R., Kelleher, K. J., Bruehlman, R., Sereika, S., & Thase, M. E. (2001) · Family Practice · doi:10.1093/fampra/18.3.314 · Cited by 138
Swerissen, H., Belfrage, J., Weeks, A., Jordan, L., Walker, C. F., Furler, J., McAvoy, B., Carter, M., & Peterson, C. L. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.04.003 · Cited by 140
Psychologically Informed Interventions for Low Back Pain: An Update for Physical Therapists
Nicholas, M. K., & George, S. Z. (2011) · Physical Therapy · doi:10.2522/ptj.20100278 · Cited by 139
Self‐Reported Goals of Older Patients with Type 2 Diabetes Mellitus
Huang, E. S., Gorawara‐Bhat, R., & Chin, M. H. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53119.x · Cited by 139
“Enabling patients to manage their own chronic illnesses is well recognized as a vital component of successful chronic disease management.(1) Multiple studies of self-management interventions across an array of chronic conditions have shown that increasing patient involvement in daily care responsibilities can improve…”
BackgroundBauer, M. S., McBride, L., Williford, W. O., Glick, H., Kinosian, B., Altshuler, L., Beresford, T., Kilbourne, A. M., & Sajatovic, M. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.7.927 · Cited by 138
“The lag time to response would be consistent with preliminary data (59,60) and characteristic of social learning theory (56).”
BackgroundResultInfluentialThornicroft, G., Ahuja, S., Barber, S., Chisholm, D., Collins, P. Y., Docrat, S., Fairall, L., Lempp, H., Niaz, U., Ngo, V., et al. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30298-0 · Cited by 138
Szanton, S. L., Wolff, J. W., Leff, B., Thorpe, R. J., Tanner, E. K., Boyd, C., Xue, Q., Guralnik, J., Bishai, D., & Gitlin, L. N. (2014) · Contemporary Clinical Trials · doi:10.1016/j.cct.2014.03.005 · Cited by 138
“It draws upon clinical approaches to enhance uptake and adoption of intervention strategies by study participants such as patient-centered care and motivational interviewing [45–48].”
BackgroundElissen, A., Nolte, E., Knai, C., Brunn, M., Chevreul, K., Conklin, A., Durand‐Zaleski, I., Erler, A., Flamm, M., Frølich, A., et al. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-117 · Cited by 140
“The CCM proposes that ‘ by using a collaborative approach, providers and patients work together to identify problems, set priorities, establish goals, create treatment plans and solve issues along the way ’ [29].”
Epidemiology of Type 2 Diabetes: Focus on Ethnic Minorities
Egede, L. E., & Dagogo-Jack, S. E. (2005) · Medical Clinics of North America · doi:10.1016/j.mcna.2005.03.004 · Cited by 139
“Collaborative management is said to have occurred when patients and providers have shared goals and there is clear delineation of roles and responsibilities between patients and health providers [100].”
BackgroundChronic Care Management for Dependence on Alcohol and Other Drugs
Saitz, R., Cheng, D. M., Winter, M. R., Kim, T. W., Meli, S. M., Allensworth‐Davies, D., Lloyd-Travaglini, C. A., & Samet, J. H. (2013) · JAMA · doi:10.1001/jama.2013.277609 · Cited by 135
“SIP-D drug-related problem score, past 3 mo, median (IQR)c 33 (21-40) 32 (18-39) 33 (22-40) 5 (0-26) 5 (0-24) 5 (0-28)”
Clinical Inertia and Outpatient Medical Errors
O’Connor, P. J., Sperl‐Hillen, J. M., Johnson, P. E., Rush, W. A., & Biltz, G. R. (2008) · Journal of Medical Regulation · doi:10.30770/2572-1852-94.2.19 · Cited by 135
Development of the Patient Activation Measure for Mental Health
Green, C. A., Perrin, N., Polen, M. R., Leo, M. C., Hibbard, J. H., & Tusler, M. (2009) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-009-0239-6 · Cited by 133
Collaborative Chronic Care Models for Mental Health Conditions
Miller, C. J., Grogan‐Kaylor, A. C., Perron, B. E., Kilbourne, A. M., Woltmann, E. M., & Bauer, M. S. (2013) · Medical Care · doi:10.1097/mlr.0b013e3182a3e4c4 · Cited by 135
Chronic Disease Self-Management and Adherence to HIV Medications
Gifford, A. L., & Groessl, E. J. (2002) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/00126334-200212153-00016 · Cited by 129
Glasgow, R. E., & Toobert, D. J. (2000) · Medical Care · doi:10.1097/00005650-200011000-00002 · Cited by 129
Self-management support interventions for persons with chronic disease: an evidence-based analysis.
Franek, J. A. (2013) · Europe PMC (PubMed Central) · Cited by 140
Mangione-Smith, R. M., Schonlau, M., Chan, K. S., KEESEY, J. W., Rosen, M., Louis, T. A., & Keeler, E. B. (2005) · Ambulatory Pediatrics · doi:10.1367/a04-106r.1 · Cited by 126
An Official American Thoracic Society Workshop Report: The Integrated Care of the COPD Patient
Nici, L. L., & ZuWallack, R. (2012) · Proceedings of the American Thoracic Society · doi:10.1513/pats.201201-014st · Cited by 133
“Frequent monitoring may improve self management through identifying early signs of clinical worsening, helping patients appropriately interpret their respiratory symptoms, and fostering appropriate health behaviors (43).”
BackgroundIntegrated Primary Care and Social Work: A Systematic Review
Fräser, M. W., Lombardi, B. M., Wu, S., Zerden, L. D. S., Richman, E. L., & Fraher, E. P. (2018) · Journal of the Society for Social Work and Research · doi:10.1086/697567 · Cited by 143
Thorne, S. E., & Paterson, B. L. (2001) · Patient Education and Counseling · doi:10.1016/s0738-3991(00)00095-1 · Cited by 134
Randomized Trial of Depression Follow-Up Care by Online Messaging
Simon, G. E., Ralston, J. D., Savarino, J. E., Pabiniak, C. J., Wentzel, C., & Operskalski, B. H. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1679-8 · Cited by 127
“Organized care for depression, whether by telephone or online, includes systematic outreach, standardized assessment of adherence and outcomes, application of evidence-based guidelines, and persistent tailoring of treatment to maximize response.(9,10) Our findings suggest that those key elements of depression care can…”
BackgroundHibbard, J. H., & Tusler, M. (2007) · Journal of Ambulatory Care Management · doi:10.1097/00004479-200701000-00002 · Cited by 127
Management of diabetes: are doctors framing the benefits from the wrong perspective?
Wolpert, H. A., & Anderson, B. J. (2001) · BMJ · doi:10.1136/bmj.323.7319.994 · Cited by 126
Treating patients with medically unexplained symptoms in primary care
Smith, R. C., Lein, C., Collins, C., Lyles, J. S., Given, B., Dwamena, F. C., Coffey, J., Hodges, A., Gardiner, J. C., Goddeeris, J., et al. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20815.x · Cited by 123
Empowering Children and Families With Information Technology
D’Alessandro, D. M., & Dosa, N. P. (2001) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.155.10.1131 · Cited by 124
Multinational Attitudes Toward AI in Health Care and Diagnostics Among Hospital Patients
Busch, F., Hoffmann, L., Xu, L., Zhang, L. J., Hu, B., García-Juárez, I., Toapanta-Yanchapaxi, L. N., Gorelik, N., Gorelik, V., Rodriguez-Granillo, G. A., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.14452 · Cited by 124
From DSME to DSMS: Developing Empowerment-Based Diabetes Self-Management Support
Funnell, M. M., Tang, T. S., & Anderson, R. M. (2007) · Diabetes Spectrum · doi:10.2337/diaspect.20.4.221 · Cited by 125
Goal-setting in clinical medicine
Bradley, E. H., Bogardus, S. T., Tinetti, M. E., & Inouye, S. K. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00107-0 · Cited by 116
Patients’ and Professionals’ Views on Managing Fibromyalgia
Briones‐Vozmediano, E., Vives‐Cases, C., Ronda, E., & Gil‐González, D. (2013) · Pain Research and Management · doi:10.1155/2013/742510 · Cited by 124
“The right diagnostic approach leads to greater therapeutic success, and both depend to a great extent on a good health professional-patient relationship (20,21).”
A randomized trial of the use of patient self-assessment data to improve community practices.
Wasson, J. H., Stukel, T. A., Weiss, J. E., Hays, R. D., Jette, A. M., & Nelson, E. C. (1999) · PubMed · Cited by 119
Depression in primary care: linking clinical and systems strategies
Pincus, H. A., Pechura, C. M., Elinson, L., & Pettit, A. R. (2001) · General Hospital Psychiatry · doi:10.1016/s0163-8343(01)00165-7 · Cited by 118
Bernabeo, E. C., & Holmboe, E. S. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1120 · Cited by 118
Untangling Practice Redesign from Disease Management: How Do We Best Care for the Chronically Ill?
Coleman, K., Mattke, S., Perrault, P. J., & Wagner, E. H. (2008) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.031308.100249 · Cited by 116
Self-citationNurse follow‐up of patients with diabetes: randomized controlled trial
Wong, F. K. Y., Mok, M. P. H., Chan, T., & Tsang, M. W. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03404.x · Cited by 113
Understanding health behavior change by motivation and reward mechanisms: a review of the literature
Michaelsen, M. M., & Esch, T. (2023) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2023.1151918 · Cited by 114
“, through time and energy spent on disease management by the patient and family members (Ellrodt et al., 1997; Korff et al., 1998; Wagner, 2000).”
BackgroundQuality Improvement Learning Collaboratives
Ayers, L. R., Beyea, S. C., Godfrey, M. M., et al. (2005) · Quality Management in Health Care · doi:10.1097/00019514-200510000-00010 · Cited by 111
Team functioning and patient outcomes in stroke rehabilitation
Strasser, D. C., Falconer, J. A., Herrin, J. S., Bowen, S. E., Stevens, A. B., & Uomoto, J. M. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.04.046 · Cited by 114
Luft, B. J., Schechter, C. B., Kotov, R., Broihier, J., Reissman, D. B., Guerrera, K. M., Udasin, I. G., Moline, J. M., Harrison, D. J., Friedman‐Jiménez, G., et al. (2011) · Psychological Medicine · doi:10.1017/s003329171100256x · Cited by 113
“Nonetheless, the current findings support treatment strategies that integrate physical and mental health targets (Von Korff et al. 1997).”
BackgroundAndrawis, J. P., Akhavan, S., Chan, V., Lehil, M. S., Pong, D., & Bozic, K. J. (2015) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-015-4247-4 · Cited by 109
“potentially important factor in contributing to health outcomes, cost, and patient experience of care [14, 18, 42], however to our knowledge, it has not been studied as a possible predictor of postoperative patient-reported outcomes after TJAs.”
BackgroundReforming internal medicine residency training
Holmboe, E. S., Bowen, J. L., Green, M., Gregg, J. L., DiFrancesco, L., Reynolds, E. E., Alguire, P. C., Battinelli, D. L., Lucey, C. R., & Duffy, D. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0249.x · Cited by 109
Soubhi, H., Bayliss, E. A., Fortin, M., Hudon, C., van den Akker, M., Thivierge, R., Posel, N. H., & FLEISZER, D. M. (2010) · The Annals of Family Medicine · doi:10.1370/afm.1056 · Cited by 109
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2007) · Diabetes Care · doi:10.2337/dc07-9923 · Cited by 109
Barriers to self-management of diabetes: a qualitative study among low-income minority diabetics.
Onwudiwe, N. C., Mullins, C. D., Winston, R. A., Shaya, F. T., Pradel, F. G., Laird, A., & Saunders, E. (2011) · PubMed · Cited by 105
Melchiorre, M. G., Papa, R., Rijken, M., van Ginneken, E., Hujala, A., & Barbabella, F. (2017) · Health Policy · doi:10.1016/j.healthpol.2017.08.006 · Cited by 106
“eu integrated system of chronic care [59], also by profiling the different needs of patients for population-based interventions [60], and by enhancing an effective “collaborative care management” by both patients and professionals/health care providers, thus supporting self-care [61].”
BackgroundMoving Treatment Research From Clinical Trials to the Real World
Roy‐Byrne, P., Sherbourne, C. D., Craske, M. G., Stein, M. B., Katon, W. J., Sullivan, G., Means‐Christensen, A. J., & Bystritsky, A. (2003) · Psychiatric Services · doi:10.1176/appi.ps.54.3.327 · Cited by 105
Mossabir, R., Morris, R., Kennedy, A. P., Blickem, C., & Rogers, A. E. (2014) · Health & Social Care in the Community · doi:10.1111/hsc.12176 · Cited by 108
“The notion of ‘self-management’ has become central to addressing the growing burden of long-term conditions, moving the day-to-day responsibility of managing health from the state to the individual, families and social groups (Von Korff et al. 1997, Wagner et al. 2001, Bodenheimer et al. 2002).”
Huang, E. S., Zhang, Q., Brown, S. E. S., Drum, M. L., Meltzer, D. O., & Chin, M. H. (2007) · Health Services Research · doi:10.1111/j.1475-6773.2007.00734.x · Cited by 106
“The HDC trains HC staff to utilize the tools of rapid QI (Wagner et al. 2001) and chronic disease management (Von Korff et al. 1997; Bodenheimer, Wag- Address correspondence to Elbert S. Huang, M.D., M.P.H., The University of Chicago, 5841 S, Maryland Avenue, MC 2007, Chicago, IL 60637.”
MethodHortensius, J., Kars, M. C., Wierenga, W. S., Kleefstra, N., Bilo, H. J. G., & van der Bijl, J. J. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-167 · Cited by 110
“This approach should result in improved health care outcomes and lower costs [8,29-34].”
BackgroundDoes physician education on depression management improve treatment in primary care?
Lin, E. H. B., Simon, G. E., Katzelnick, D. J., & Pearson, S. D. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009614.x · Cited by 104
Self-management of chronic low back pain and osteoarthritis
May, S. (2010) · Nature Reviews Rheumatology · doi:10.1038/nrrheum.2010.26 · Cited by 103
Hospitalized Patients' Understanding of Their Plan of Care
O’Leary, K. J., Kulkarni, N. S., Landler, M. P., et al. (2009) · Mayo Clinic Proceedings · doi:10.4065/mcp.2009.0232 · Cited by 103
Evidence relating to goal planning in rehabilitation
Wade, D. T. (1998) · Clinical Rehabilitation · doi:10.1191/026921598678166365 · Cited by 102
Chwastiak, L., Rosenheck, R. A., McEvoy, J. P., Keefe, R. S. E., Swartz, M. S., & Lieberman, J. A. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.8.1102 · Cited by 129
Simpler Regimens May Enhance Adherence to Antiretrovirals in HIV-Infected Patients
Maggiolo, F., Ripamonti, D., Arici, C., Gregis, G., Quinzan, G., Antezana, C. G., Ravasio, L., & Suter, F. (2002) · HIV Clinical Trials · doi:10.1310/98b3-pwg8-pmyw-w5bp · Cited by 102
Cost-Effectiveness of Enhancing Primary Care Depression Management on an Ongoing Basis
ROST, K. M. (2005) · The Annals of Family Medicine · doi:10.1370/afm.256 · Cited by 102
La coordinación entre niveles asistenciales: una sistematización de sus instrumentos y medidas
Núñez, R. T., Lorenzo, I. V., & Vázquez, M. L. (2006) · Gaceta Sanitaria · doi:10.1157/13096516 · Cited by 103
“El teléfono se ha mostrado particularmente efi-caz para el seguimiento de pacientes crónicos 49 .”
Metadata
- Authors
- Von Korff, M., Gruman, J., Schaefer, J., Curry, S. J., & Wagner, E. H.
- Affiliations
- From Group Health Cooperative of Puget Sound, Seattle, Washington; and the Center for the Advancement of Health, Washington, D.C.
- Group Health Cooperative (US)
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1997-12-15
- Volume
- 127
- Issue
- 12
- Pages
- 1097-1102
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2048179962
- Cited by
- 1,269
- References
- 0
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 25 · 2023: 24 · 2022: 23 · 2021: 28 · 2020: 30 · 2019: 52 · 2018: 41 · 2017: 46 · 2016: 47 · 2015: 43 · 2014: 47 · 2013: 59 · 2012: 65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- chronic disease, collaborative care, patient-provider relationship, self-care, self-management education, goal setting, action planning, patient preferences, follow-up care, health behavior change, emotional support, preventive medicine
- MeSH terms
- Chronic Disease, Follow-Up Studies, Humans, Patient Care Planning, Patient Care Team, Patient Education as Topic, Self Care, Social Support, Health Behavior, Practice Guidelines as Topic
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.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
