Chronic Care Model Strategies In The United States And Germany Deliver Patient-Centered, High-Quality Diabetes Care

Abstract

Improving the quality of care for chronic diseases is an important issue for most health care systems in industrialized nations. One widely adopted approach is the Chronic Care Model (CCM), which was first developed in the late 1990s. In this article we present the results from two large surveys in the United States and Germany that report patients' experiences in different models of patient-centered diabetes care, compared to the experiences of patients who received routine diabetes care in the same systems. The study populations were enrolled in either Geisinger Health System in Pennsylvania or Barmer, a German sickness fund that provides medical insurance nationwide. Our findings suggest that patients with type 2 diabetes who were enrolled in the care models that exhibited key features of the CCM were more likely to receive care that was patient-centered, high quality, and collaborative, compared to patients who received routine care. This study demonstrates that quality improvement can be realized through the application of the Chronic Care Model, regardless of the setting or distinct characteristics of the program.

A call to action to inform patient‐centred approaches to obesity management: Development of a disease‐illness model

“…65 One way that stakeholders have significantly improved quality of care for people with diseases related to obesity (eg, diabetes, dyslipidaemia, hypertension, cardiovascular disease) is by shifting treatment paradigms to be more patient-centred, focusing on each patient's preferences, values and needs. 2,3,9,[68][69][70][71] While there are several accurate and informative models of obesity that have been developed by leading experts and medical societies, 17,18,22,[72][73][74] truly patient-centric models are lacking. Thus, the current initiative was undertaken to develop a patient-centred obesity disease-illness model and to issue a call to action to obesity stakeholders to utilize this model to promote activities outlined in As new treatments are studied for obesity management, a disease-illness model for obesity, such as the one presented here, can BOX 2 Calls to action to improve patient-centred care for people living with obesity 62,65,75 Healthcare providers…”

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

“…5). Zintegrowane, usystematyzowane podejście do leczenia AF, które z powodzeniem zastosowano w innych dziedzinach medycyny [322][323][324], ułatwi spójne, zgodne z wytycznymi postępowanie u wszystkich pacjentów [325] (ryc. 6), stwarzając szansę poprawy klinicznych wyników leczenia [42,326,327].…”

The (Missed) Potential of the Patient-centered Medical Home for Disparities

“…6 According to Edwards et al, 7 The PCMH shares many elements with other international performance management programs that aim to improve quality of care through data, changed practice organization, and payment reform, including the Quality and Qutcomes Framework in the United Kingdom 8 or the disease-management programs in Germany. 9 Scholars from the United Kingdom and the United States have raised concerns that performance management systems may exacerbate disparities in particular if the income of providers in underprivileged communities declines because of lower-quality scores and providers start to avoid patients with minority background or low socioeconomic status. 10,11 However, they also acknowledge that well-designed programs may be able to reduce inequalities if, for example, absolute quality scores and relative improvement are rewarded, if quality measures are risk-adjusted or stratified, and if effects on disparities are part of the program evaluation.…”