Incorporating elements of the Chronic Care Model (CCM) in small independent primary care practices can be done with ease and is associated with better intermediate outcomes of diabetes care. This study of 90 clinicians and 886 patients found that clinician-reported use of CCM elements was significantly associated with lower glycosylated hemoglobin levels (the standard measure of the degree of control of diabetes) and ratios of cholesterol to high-density lipoprotein cholesterol. Specifically, for every unit increase in clinician-reported CCM use (e.g., from "rarely" to "occasionally"), there was an associated 0.30% reduction in glycosylated hemoglobin values and a 0.17 reduction in the lipid ratio.
Use of Chronic Care Model Elements Is Associated with Higher-Quality Care for Diabetes
By Paul A. Nutting, M.D., M.S.P.H., et al
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Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. Annals of Family Medicine is sponsored by six family medical organizations, including the American Academy of Family Physicians, the American Board of Family Medicine, the Society of Teachers of Family Medicine, the Association of Departments of Family Medicine, the Association of Family Medicine Residency Directors and the North American Primary Care Research Group. Annals of Family Medicine is published six times each year and contains original research from the clinical, biomedical, social and health services areas, as well as contributions on methodology and theory, selected reviews, essays and editorials. Complete editorial content and interactive discussion groups for each published article can be accessed free of charge on the journal's Web site, annfammed/.
Contact: Kristin Robinson
American Academy of Family Physicians
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