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Chronic Disease Management in Primary Care
Author(s) -
Sutton Kathryn
Publication year - 2005
Publication title -
journal of human nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 70
eISSN - 1365-277X
pISSN - 0952-3871
DOI - 10.1111/j.1365-277x.2005.00640.x
Subject(s) - medicine , primary care , citation , library science , family medicine , computer science
THE FIRST UNDERLYING theory of the ACA is the use of systems analysis to change how each element in the system interacts with other elements to achieve the desired outcomes. The systems approach is used to promote one of the most significant changes to the American healthcare system—the improvement of the care for those with chronic disease. The ACA contains a number of policy initiatives that focus on improving care for these patients. Chronic care comes with a high cost and high variability in treatment. Knowledge on best practices in chronic disease management has accumulated over the past 30 years, and the ACA contains many new policies that promote the application of this knowledge throughout the provider community. Exhibit 1.1 illustrates the distribution of costs associated with the care of patients with chronic diseazses. Note the high cost for people with three or more chronic conditions (89 percent). In addition, the costs of chronic disease care vary greatly throughout the country (Exhibit 1.2).