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Chronic Care Model improved outcomes in diabetes management
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Developed to accommodate the growing number of patients with chronic disease, the Chronic Care Model provides patients with self-management skills and tracking systems in an effort to meet their demands. However, the model has undergone scrutiny for its role in diabetes care, according to a review published in the CDC’s Preventing Chronic Disease.
Researchers Michael Stellefson, PhD, Krishna Dipnarine, MS, and Christine Stopka, PhD, from the University of Florida, conducted a systemic review to assess how researchers have used the Chronic Care Model (CCM) in primary care settings (in the US) which administer care to patients with diabetes.
“Although the original CCM has been critiqued for not adequately meeting the needs of diverse patient populations with diabetes, our systemic review supports the idea that CCM-based interventions are generally effective for managing diabetes in US primary care settings,” the researchers wrote.
The researchers utilized various literature databases and established that 16 studies (e.g. nine randomized controlled trials, two prospective cohort studies, three natural experiments, one qualitative study and one cross-sectional study) demonstrated evidence that CCM approaches were efficacious in the management of diabetes in US primary care settings. According to the researchers, primary care physicians were trained to deliver evidence-based care and diabetes self-management education programs in their offices, thus improving patient outcomes.
“Improved tracking (i.e., using electronic patient registries or electronic medical records) of individual health outcomes (e.g. HbA1c trends) provided an expedient way to manage patient information and also improved provider responses (e.g. medication adjustment) to clinical data,” the researchers wrote.
The researchers said further assessment on process outcomes could enable health care administrators and professionals to determine how this model could become better integrated into primary care initiatives for patients with diabetes.
Disclosure: The researchers report no relevant financial disclosures.
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