title: Chronic care model strategies in the United States and Germany deliver patient-centered, high-quality diabetes care.
abstract: Improving the quality of care for chronic diseases is an important issue for most health care systems in industrialized nations. One widely adopted approach is the Chronic Care Model (CCM), which was first developed in the late 1990s. In this article we present the results from two large surveys in the United States and Germany that report patients' experiences in different models of patient-centered diabetes care, compared to the experiences of patients who received routine diabetes care in the same systems. The study populations were enrolled in either Geisinger Health System in Pennsylvania or Barmer, a German sickness fund that provides medical insurance nationwide. Our findings suggest that patients with type 2 diabetes who were enrolled in the care models that exhibited key features of the CCM were more likely to receive care that was patient-centered, high quality, and collaborative, compared to patients who received routine care. This study demonstrates that quality improvement can be realized through the application of the Chronic Care Model, regardless of the setting or distinct characteristics of the program.
authors.affiliation: Stephanie Stock (Stephanie.Stock@uk-koeln.de) is a professor at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne, in Germany.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Stock
authors.affiliation: James M. Pitcavage is a project manager at the Center for Health Research, Geisinger Health System, in Danville, Pennsylvania, and a PhD candidate in the Department of Health Policy and Administration at the Pennsylvania State University, in University Park.
authors.forename: James M
authors.initials: JM
authors.lastname: Pitcavage
authors.affiliation: Dusan Simic is a scientific associate at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne.
authors.forename: Dusan
authors.initials: D
authors.lastname: Simic
authors.affiliation: Sibel Altin is a scientific associate at the Institute of Health Economics and Clinical Epidemiology, University Hospital of Cologne.
authors.forename: Sibel
authors.initials: S
authors.lastname: Altin
authors.affiliation: Christian Graf is head of the Department of Product Development, Health Care Management, and Prevention at Barmer, in Wuppertal, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Graf
authors.affiliation: Wen Feng is a biostatistical analyst at the Center for Health Research, Geisinger Health System.
authors.forename: Wen
authors.initials: W
authors.lastname: Feng
authors.affiliation: Thomas R. Graf is chief medical officer for population health and longitudinal care service lines, Geisinger Health System.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Graf
mesh_terms: D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D019468:Disease Management; D005260:Female; D005858:Germany; D006302:Health Services Research; D006801:Humans; D008297:Male; D017146:Models, Organizational; D018802:Patient-Centered Care / Q000458:organization & administration*; D010414:Pennsylvania; D058996:Quality Improvement; D011787:Quality of Health Care; D014481:United States
keywords: Chronic Care; International/global health studies; Organization and Delivery of Care; Quality Of Care