Improving chronic disease care in the real world: a step-by-step approach.
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D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003695:Delivery of Health Care / Q000458:organization & administration; D003920:Diabetes Mellitus / Q000401:mortality / Q000628:therapy*; D005194:Family Practice; D006801:Humans; D008875:Middle Aged; D018802:Patient-Centered Care; D011787:Quality of Health Care / Q000639:trends*