Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy

Advanced Search Instructions

You can refine your search with the following modifiers:

* Use an to perform a wildcard search.Example: prescript* would return "prescription", "prescriptions" etc.
"" Use quotes to match a phrase.Example: "prescription drug" only returns results where the words are next to each other.
+ Use a plus sign to perform a search where the additional term MUST be part of the page.Example: prescription +drug
- Use a minus sign to perform a search where the additional term SHOULD NOT be part of the page.Example: prescription -drug
< > Use a < > sign to perform a search where the additional term should be of greater or lesser importance in the search.Example: prescription >drug
Find pages with the word precription with additional importance for the word drug.
( ) Use parentheses to group different search terms together.Example: prescription (+medicare -drug)

Insurance Coverage & Costs Access to Care Quality & Care Delivery Health Care Markets Issue Briefs Data Bulletins Research Briefs Policy Analyses Community Reports Journal Articles Other Publications Surveys Site Visits Design and Methods Data Files

The Elusive Benefits of Chronic Care Management

March 14, 2011
Archives of Internal Medicine, Vol. 171, No. 5
Jill Bernstein

Improving quality and controlling costs through better management of serious chronic conditions is a critically important goal of U.S. health care reform. However, a range of studies—including one by Chad Boult and colleagues in the March 14 edition of Archives of Internal Medicine—have found that carefully designed programs implementing best practices for patients with serious multiple chronic conditions show only limited success. In an invited commentary in the same edition of Archives, Jill Bernstein, Ph.D., HSC senior health policy analyst, stresses that it may be difficult to identify clear benefits from methodologically rigorous clinical trials, and that research should focus on integrating what has been learned into research syntheses, pilot studies and larger demonstrations that can guide system-wide improvements in chronic care management.

This article is available available at the Archives of Internal Medicine Web site. (Subscription required.)






Back to Top