Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life

The escalating problem of multiple chronic conditions (MCC) among Americans is now a major public health and medical challenge, associated with suboptimal health outcomes and rising health-care expenses. Despite this problem's growth, the delivery of health services has continued to employ outm...

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Veröffentlicht in:Public health reports (1974) 2011-07, Vol.126 (4), p.460-471
Hauptverfasser: Parekh, Anand K., Goodman, Richard A., Gordon, Catherine, Koh, Howard K.
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container_end_page 471
container_issue 4
container_start_page 460
container_title Public health reports (1974)
container_volume 126
creator Parekh, Anand K.
Goodman, Richard A.
Gordon, Catherine
Koh, Howard K.
description The escalating problem of multiple chronic conditions (MCC) among Americans is now a major public health and medical challenge, associated with suboptimal health outcomes and rising health-care expenses. Despite this problem's growth, the delivery of health services has continued to employ outmoded "siloed" approaches that focus on individual chronic diseases. We describe an action-oriented framework—developed by the U.S. Department of Health and Human Services with additional input provided by stakeholder organizations—that outlines national strategies for maximizing care coordination and for improving health and quality of life for individuals with MCC. We note how the framework's potential can be optimized through some of the provisions of the new Patient Protection and Affordable Care Act, and through public-private partnerships.
doi_str_mv 10.1177/003335491112600403
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source Jstor Complete Legacy; MEDLINE; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete; PubMed Central; Alma/SFX Local Collection
subjects Biological and medical sciences
Chronic Disease - therapy
Chronic diseases
Chronic illnesses
Clinical outcomes
Disease management
Disease models
Diseases
Health Education - organization & administration
Health insurance
Health outcomes
Health Services Research - organization & administration
Humans
Incentive pay
Legislation
Managed care
Medical sciences
Medical service
Medicare
Medications
Miscellaneous
Modeling
Partnership
Patient Care Management - organization & administration
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act
Patients
Psychoeducational intervention
Public health
Public Health - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
Public-private sector cooperation
Quality of Life
REPORTS AND RECOMMENDATIONS
Self Care - methods
Treatment Outcome
United States
United States Dept. of Health and Human Services - organization & administration
title Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life
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