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Commentary

You Can’t Get There From Here: Obstacles To Improving Care Of The Chronically Ill

Care of persons with major chronic illnesses is hardly the only aspect of the health care system in which a considerable gap persists between what we think we know optimal care should look like and actual patterns of care. Indeed, much of the burgeoning movement in outcomes/effectiveness research is fed by a growing perception of the distance between normative standards of care and actual practice. But for those engaged in providing services to the frail elderly, or the adult disabled, or others with major chronic illnesses, the distance between "what is" and "what should be" is especially frustrating, both because . . . [Full Text of this Article]

Changing Providers’ Behavior

 

Organizational Barriers

 

Public Policy Barriers

 

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