Health Affairs, 28, no. 1 (2009): 63 doi: 10.1377/hlthaff.28.1.63 © 2009 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

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Reorganizing Care

PROLOGUE

Reorganizing Chronic Care Delivery

The U.S. health care delivery system, historically built around acute care, needs to reshape itself to cope with chronic conditions. The papers that follow describe approaches to chronic care management that enjoy widespread support and address the obstacles they face.

The classic model for much of U.S. health care is the one doctor, one patient encounter. Tom Bodenheimer and colleagues explain the rationale for an entirely different approach to chronic illness built around multidisciplinary teams. They point out that it takes nearly eleven hours per day for a lone clinician to provide good chronic care to the average panel of . . . [Full Text of this Article]

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