PURPOSE Despite the availability of national practice guidelines, many patients fail to
receive recommended chronic disease care. Physician time constraints in primary care are …

An estimated 99 million Americans live with a chronic illness. Meeting the needs of this
population is one of the major challenges facing the US health care system today and in the …

PURPOSE: To assess the clinical and economic effects of disease management in patients
with chronic diseases. METHODS: Electronic databases were searched for English …

Meeting the complex needs of patients with chronic illness or impairment is the single
greatest challenge facing organized medical practice. Usual care is not doing the job; …

Growing numbers of people with chronic conditions are seeking care in a system that is not
structured to respond to their needs. Today more than 125 million people, or almost half of …

PURPOSE New approaches to chronic disease management emphasize the need to
improve the delivery of primary care services to meet the needs of chronically ill patients …

“Disease management” is the latest catch phrase in the ever-evolving American health care
spectacle. What does it mean? Who is promoting it and why? What does it portend for the …

A major contributor to shortfalls in delivery of recommended health care services is lack of
physician time. On the basis of recommendations from national clinical care guidelines for …

The chronically ill may have the most to gain or loseby the changes now occurring in the
organization of medical care. My purpose is to define and discuss the major health services …

Quality-measurement and payment-for-performance programs encourage physicians to
deliver care that is consistent with practice guidelines. In the treatment of patients with …