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Efficiency of Chronic Care Models for Chronic Diseases

german translation / full article

Simon Kostner

Question

Is there any evidence that chronic care models enhance the prognosis for persons with a chronic disease?

Answer

No. The benefit of chronic care models – compared to usual care – for patients with chronic disease isn’t proved as to life expectance, quality of life, morbidity, incidence of complications, hospitalisation rate and resource usage. In health care systems with deficient concerted care and in certain subgroups of patients chronic care models can improve subjectively perceived quality of care, adherence of care givers for guidelines, quality of documentation and the teamwork. In already functioning health care systems there are marginal effects (if at all), and it’s doubtful wether the costs for development and implementation of chronic care models are justified.


(State: 16.11.2012)

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