Multiple Chronic Conditions: A Strategic Framework: Optimum Health and Quality of Life for Individuals with Multiple Chronic Conditions
Diana Gosálvez Prados
— last modified 18/12/2012 14:10
Multiple chronic conditions can contribute to frailty and disability; conversely, most older persons who are frail or disabled have MCC. The confluence of MCC and functional limitations, especially the need for assistance with activities of daily living, produces high levels of spending. Functional limitations can often complicate access to health care, interfere with self?management, and necessitate reliance on caregivers.
U.S. Department of Health and Human Services. Multiple Chronic Conditions—A Strategic Framework: Optimum Health and Quality of Life for Individuals with Multiple Chronic Conditions. Washington, DC. December 2010. Available at: http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf
Report
21/03/2012
A report by the Institute of Medicine in 2001 highlighted the complexities of and the need for care coordination for individuals with multiple conditions. Noting that there is evidence that patients receiving care for one chronic condition may not receive care for other, unrelated conditions, the IOM articulated that a challenge of designing care around specific conditions is to avoid defining patients solely by their disease or condition. The Chronic Care Model further elucidates the elements required to improve chronic illness care, including systems requirements for healthcare organization, community resources, self?management support, delivery design, decision support, and clinical information.This seminal model represents a conceptual foundation for innovative approaches to addressing MCC.
U.S. Department of Health & Human Services
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