The ten characteristics of the high-performing chronic care system.

Christopher Ham

Research output: Contribution to journalArticle

101 Citations (Scopus)
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Abstract

The purpose of this paper is to describe the characteristics of the high-performing chronic care system and the four implementation strategies needed to achieve such a system. The paper starts with a description of the Chronic Care Model and summarises evidence on its impact. This is followed by a review of international evidence on gaps in the quality of chronic care. These gaps suggest that, useful and influential as the Chronic Care Model is, more is needed to help health care decision makers bring about the reorientation required to meet the needs of populations in which chronic diseases predominate. The second half of the paper therefore sets out the ten characteristics and four implementation strategies required to achieve a high-performing chronic care system. In doing so, it provides practical guidance to policy makers and health care leaders on the most promising strategies for improving the provision of chronic care, drawing on evidence from the experience of England, New Zealand and USA.
Original languageEnglish
Pages (from-to)71-90
Number of pages20
JournalHealth economics, policy, and law
Volume5
Issue numberPt 1
Early online date7 Sept 2009
DOIs
Publication statusPublished - 1 Jan 2010

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