title: What works in chronic care management: the case of heart failure.
abstract: The evidence base of what works in chronic care management programs is underdeveloped. To fill the gap, we pooled and reanalyzed data from ten randomized clinical trials of heart failure care management programs to discern how program delivery methods contribute to patient outcomes. We found that patients enrolled in programs using multi-disciplinary teams and in programs using in-person communication had significantly fewer hospital readmissions and readmission days than routine care patients had. Our study offers policymakers and health plan administrators important guideposts for developing an evidence base on which to build effective policy and programmatic initiatives for chronic care management.
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, USA. julieas@nursing.upenn.edu
authors.forename: Julie
authors.initials: J
authors.lastname: Sochalski
authors.forename: Tiny
authors.initials: T
authors.lastname: Jaarsma
authors.forename: Harlan M
authors.initials: HM
authors.lastname: Krumholz
authors.forename: Ann
authors.initials: A
authors.lastname: Laramee
authors.forename: John J V
authors.initials: JJ
authors.lastname: McMurray
authors.forename: Mary D
authors.initials: MD
authors.lastname: Naylor
authors.forename: Michael W
authors.initials: MW
authors.lastname: Rich
authors.forename: Barbara
authors.initials: B
authors.lastname: Riegel
authors.forename: Simon
authors.initials: S
authors.lastname: Stewart
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D015397:Program Evaluation; D011787:Quality of Health Care; D016032:Randomized Controlled Trials as Topic