Chronic care in the English National Health Service: progress and challenges

Health Affairs
Chris Ham

Abstract

One of the aims of the English National Health Service (NHS) reform program has been to give higher priority to chronic care. Chronic care policy has focused on self-management, disease management, and case management, alongside a number of related initiatives. A start has been made in implementing these initiatives, and some are beginning to demonstrate benefits, like the new pay-for-performance contract for family physicians. However, investment in the chronic care policy has been modest, and the emphasis on case management appears to have been misplaced, when it is the cumulative effect of different interventions that is likely to have the greatest impact.

References

Oct 17, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Nov 24, 2005·JAMA : the Journal of the American Medical Association·Steven D Pearson, Michael D Rawlins
Jul 28, 2006·The New England Journal of Medicine·Tim DoranMartin Roland
Jul 13, 2007·The New England Journal of Medicine·Stephen CampbellMartin Roland
Apr 12, 2008·BMJ : British Medical Journal·Chris Ham

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Citations

Dec 10, 2013·Enfermería clínica·José Miguel Morales-Asencio
May 13, 2014·Enfermería clínica·Inmaculada Perteguer-Huerta
Sep 14, 2015·Enfermería clínica·Juan Carlos Morilla HerreraSilvia García Mayor
Jul 29, 2015·Journal of Evaluation in Clinical Practice·Jose M Morales-AsencioJuan C Morilla-Herrera
Dec 30, 2014·Journal of Evaluation in Clinical Practice·Jose Miguel Morales-AsencioIsabel María Morales-Gil
Mar 31, 2011·Atencion primaria·Domingo Orozco-Beltrán, Manuel Ollero Baturone
Oct 29, 2015·Scottish Medical Journal·Brian Howieson
Jun 17, 2015·International Journal of Health Services : Planning, Administration, Evaluation·Peter DuncanFrancisco Oscar de Siqueira França
Oct 1, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Martin PalmeriMichael Zubkoff

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