Constructing a Bridge Across the Quality Chasm: A Practical Way to Get Healthier, Happier Patients, Providers, and Health Care Delivery Systems
- David K. McCulloch, MD, FRCP,
- Connie Davis, MN, ARNP,
- Brian T. Austin, BA and
- Edward H. Wagner, MD, MPH
Abstract
In Brief
Usual medical care is not organized to make for effective and productive interaction between medical providers and their patients. This article highlights this problem by describing a typical office visit from the perspectives of a patient and a primary care physician. It then describes the development of the Chronic Care Model, which provides practical suggestions for how to change several aspects of the organization and delivery of health care to improve this situation.
Footnotes
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David K. McCulloch, MD, FRCP, and Connie Davis, MN, ARNP, are affiliate investigators; Brian T. Austin, BA, is associate director; and Edward H. Wagner, MD, MPH, is director at the MacColl Institute for Healthcare Innovation at Group Health Cooperative in Seattle, Wash.
- American Diabetes Association
