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Medicine & Chronic Illness

PERSPECTIVE

Making A Business Case For High-Quality Chronic Illness Care

Richard J. Bringewatt

Current health care policy, finance, information, and management structures lock in place a delivery model that defies the logic of chronic illness. They ignore the comorbid nature of chronic conditions and the influences of environment, emotional status, family relationships, and diet. They contain incentives for providers to work within the boundaries of their own care setting rather than adapting to changing needs.

Efforts to advance the use of evidence-based guidelines offer hope for improving clinical outcomes for the chronically ill. However, long-term cost containment and quality improvement are unlikely unless we change our financing, regulatory, and oversight structures. People would . . . [Full Text of this Article]

Managed care versus fee-for-service.A business case for quality.

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