2017 Chronic Care Model Literature Updates

These titles represent select Chronic Care Model (and related) journal articles published after 2009, when we last reviewed the research literature for the “Evidence on the Chronic Care Model in the New Millennium” referenced below .  Listed alphabetically by first author, our goal with the 2017 updates is not comprehensiveness, but to highlight key articles we have come across.

Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the Chronic Care Model in the new millennium. Health Aff (Millwood). 2009 Jan-Feb;28(1):75-85. [Link]

The ICIC team in 2009 examined the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference.

Cramm JM, Nieboer AP.  Short and long term improvements in quality of chronic care delivery predict program sustainability.Soc Sci Med. 2014 Jan;101:148-54. [Link]

Health care organizations in which care delivered was more consistent with the Chronic Care Model over time were more likely to sustain improvements in the delivery of chronic illness care.

Davy C, Bleasel J, Liu H, Tchan M, Ponniah S, Brown A. Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review. BMC Health Serv Res. 2015 May 10;15:194. [Link]

This systematic literature review synthesized international evidence on the effectiveness of the Chronic Care Model. Of the 77 papers identified, all but two reported improvements to healthcare practice or health outcomes for people living with chronic disease.

Jacelon CS, Furman E, Rea A, Macdonald B, Donoghue LC. Creating a professional practice model for postacute care: adapting the Chronic Care Model for long-term care. J Gerontol Nurs. 2011 Mar;37(3):53-60. [Link]

A novel application of the CCM to nursing practice in a long-term care setting demonstrating its practicality and flexibility.

Koh HK, Brach C, Harris LM, Parchman ML.  A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care.  Health Aff (Millwood) 2013,  2013 Feb;32(2):357-67. [Link]

Health care delivery systems are learning that informed patient engagement has the potential to be the next "blockbuster drug" to help us reach the triple aim of better patient care experiences, improved quality and cost control. This article describes a systems approach to addressing health literacy using the Chronic Care Model as a framework, linking the model to the Health Literacy Toolkit developed by AHRQ.

Mackey K, Parchman ML, Leykum LK, Lanham HJ, Noël PH, Zeber JE. Impact of the Chronic Care Model on medication adherence when patients perceive cost as a barrier. Mackey K, Parchman ML, Leykum LK, Lanham HJ, Noël PH, Zeber JE. Prim Care Diabetes. 2012 Jul;6(2):137-42. [Link]

When patients experience care that is consistent with the Chronic Care Model, medication adherence is higher.

Kadu MK and Stolee P. Facilitators and barriers of implementing the chronic care model in primary care: a systematic review. BMC Family Practice (2015) 16:12. [Link]

A systematic review utilizing the Consolidated Framework for Implementation Research to examine organizational factors that influence the successful implementation of CCM-based interventions.  

Stock S, Pitcavage JM, Simic D, Altin S, Graf C, Feng W, and Graf TR. Chronic Care Model Strategies In The United States And Germany Deliver Patient-Centered, High-Quality Diabetes Care. Health Affairs 33, no.9 (2014):1540-1548. [Link]

A large, international study using the Patient Assessment of Chronic Illness Care (PACIC) instrument finding that patients enrolled in CCM-based models of care are more likely to report receiving high-quality, patient-centered care.