title: [Chronic care model: an evidence-based approach to caring for people with chronic disease].
abstract: The Chronic Care Model (CCM) is an organizational approach to caring for people with chronic disease in a primary care setting. The system creates practical, supportive, evidence-based interactions between an informed, activated patient and a prepared, proactive practice team. The CCM identifies essential elements of a health care system that encourage high-quality chronic disease care: the community; the health system; self-management support; delivery system design; decision support, and clinical information systems.
authors.affiliation: Institut für Hausarztmedizin, Universität Zürich, Universitätsspital Zürich und mediX Gruppenpraxis, Zürich. claudia.stey@usz.ch
authors.forename: C
authors.initials: C
authors.lastname: Steurer-Stey
authors.forename: T
authors.initials: T
authors.lastname: Rosemann
mesh_terms: D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine / Q000191:economics; D005858:Germany; D019983:Guideline Adherence / Q000191:economics; D006801:Humans; D033183:Interdisciplinary Communication; D016347:Medical Records Systems, Computerized; D009313:National Health Programs / Q000191:economics; D010348:Patient Care Team / Q000191:economics; D010353:Patient Education as Topic / Q000191:economics; D011320:Primary Health Care / Q000191:economics; D012648:Self Care / Q000191:economics