title: Occupational Therapy and Management of Multiple Chronic Conditions in the Context of Health Care Reform.
abstract: One in four individuals living in the United States has multiple chronic conditions (MCCs), and the already high prevalence of MCCs continues to grow. This population has high rates of health care utilization yet poor outcomes, leading to elevated concerns about fragmented, low-quality care provided within the current health care system. Several national initiatives endeavor to improve care for the population with MCCs, and occupational therapy is uniquely positioned to contribute to these efforts for more efficient, effective, client-centered management of care. By integrating findings from the literature with current policy and practice, we aim to highlight the potential role for occupational therapy in managing MCCs within the evolving health care system.
authors.affiliation: Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, is Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy and Davis School of Gerontology, University of Southern California, Los Angeles; nleland@usc.edu.
authors.forename: Natalie E
authors.initials: NE
authors.lastname: Leland
authors.affiliation: Donald J. Fogelberg, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Fogelberg
authors.affiliation: Ashley D. Halle, OTD, OTR/L, is Assistant Professor and Coordinator of Primary Care Residency and Services, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Ashley D
authors.initials: AD
authors.lastname: Halle
authors.affiliation: Tracy M. Mroz, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Tracy M
authors.initials: TM
authors.lastname: Mroz
mesh_terms: D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D000071069:Multiple Chronic Conditions / Q000628:therapy*; D009788:Occupational Therapy; D010348:Patient Care Team; D011320:Primary Health Care; D014481:United States