An evaluation of collaborative interventions to improve chronic illness care. Framework and study design.
The author's dual-purpose evaluation assesses the effectiveness of formal collaboratives in stimulating organizational changes to improve chronic illness care (the chronic care model or CCM). Intervention and comparison sites are compared before and after introduction of the CCM. Multiple data sources are used to measure the degree of implementation, patient-level processes and outcomes, and organizational and team factors associated with success. Despite challenges in timely recruitment of sites and patients, data collection on 37 participating organizations, 22 control sites, and more than 4,000 patients with diabetes, congestive heart failure, asthma, or depression is nearing completion. When analyzed, these data will shed new light on the effectiveness of collaborative improvement methods and the CCM.
Cretin
Shan
S
University of California, Berkeley, USA.
Shortell
Stephen M
SM
Keeler
Emmett B
EB
D002908:Chronic Disease / Q000628:therapy*; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D017598:Efficiency, Organizational; D019317:Evidence-Based Medicine / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D011159:Population Surveillance / Q000379:methods; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D011897:Random Allocation; D015203:Reproducibility of Results; D012107:Research Design; D018401:Sample Size; D014481:United States