In 2013, the Center for Disease Control and Prevention (CDCP) conducted a study on chronic disease management using the systematic review method. In particular, the study focused on the Chronic Care Model (CCM) as applied to diabetic patient care. The study aimed to describe how various researchers have applied CCM to provide care for people who live with diabetes. It also aimed to describe the outcomes of the model’s implementation.
Chronic Care Model (CCM)
CCM utilizes a systematic approach to restructure medical care so that partnerships and beneficial relationships are created between healthcare systems and communities. This kind of system is expected to facilitate improved quality of care and health outcomes for chronic disease patients.
CCM is comprised of 6 components: 1) health system or organization of healthcare (i.e., developing leadership for removing barriers to care); 2) self-management support (i.e., encouraging patient empowerment); 3) decision support (i.e., providing guidance for care); 4) delivery system design (i.e., coordinating care processes); 5) clinical information systems (i.e., reporting outcomes to patients and providers),; and 6) community resources and policies (i.e. working with public health policy to sustain care).
These components are hypothesized to positively affect outcomes associated with disease management.
CCM and diabetes
Diabetes is a major chronic disease in the United States with 29.1 million or 9.3% of the population suffering from the illness. It is also a major cause of heart disease and stroke among US adults, and is the leading cause of non-traumatic lower-extremity amputations and kidney failure.
Comprehensive models of care, such as CCM have been widely applied to cases of diabetes. The model calls for evidence-based healthcare system changes that can meet the growing need of people suffering from diabetes and other chronic diseases. CCM has been adapted in various settings such as schools and workplaces to provide diabetes patients with self-management skills and tracking systems.
The proponents of the CDCP study conducted an initial review of a total of 79 academic articles on CCM. Out of this, 16 were chosen for the final analysis. The rest were discarded for reasons such as being beyond the scope of the study’s focus, lack of details on how the CCM method was applied, and focus on other diseases aside from diabetes. The final roster of studies represented well-documented research that emphasized the interaction between CCM and diabetes care.
The CDCP study investigated the relationship between the applications of the 6 CCM components on diabetes care in the US. Through systematic, meta-analysis, it was found that interventions based on CCM have been generally effective for managing diabetes.
CCM was shown to facilitate better leadership and management of resources, consistent communication between patient and provider, and more patient-centered interactions, resulting in achieving more positive functional and clinical outcomes. This study supports the call for more evidenced-based, patient-centered models of care for managing chronic diseases.
Transforming healthcare service delivery from a volume-driven, fee-for-service reimbursement environment to value-based care involves undertaking…
Home healthcare is a wide range of professional services that can be provided in the…
In 2013, the Center for Disease Control and Prevention (CDCP) conducted a study on chronic…
Modern Healthcare recently published an article by the Associated Press discussing the new heights reached…