title: Evidence on the Chronic Care Model in the new millennium.
abstract: Developed more than a decade ago, the Chronic Care Model (CCM) is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice redesign. Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes.
authors.affiliation: MacColl Institute for Healthcare Innovation, Group Health Center for Health Studies, Seattle, Washington, USA. coleman.cf@ghc.org
authors.forename: Katie
authors.initials: K
authors.lastname: Coleman
authors.forename: Brian T
authors.initials: BT
authors.lastname: Austin
authors.forename: Cindy
authors.initials: C
authors.lastname: Brach
authors.forename: Edward H
authors.initials: EH
authors.lastname: Wagner
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D019317:Evidence-Based Medicine; D049674:History, 21st Century; D006801:Humans; D017146:Models, Organizational