Integrated care for chronic conditions: the contribution of the ICCC framework.
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Date
2011-11-07
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(Nuno, Sauto) Basque Institute for Healthcare Innovation, Plaza Asua 1, 48150 Sondika, Vizcaya, Spain
(Coleman) MacColl Institute for Healthcare Innovation, Group Health Research Institute, 1730, Minor Ave, Suite 1600, Seattle, WA 98101-1448, USA
(Bengoa) Department of Health and Consumer Affairs, Government of the Basque Country, Donostia 1, 01010 Vitoria, Alava, Spain
(Coleman) MacColl Institute for Healthcare Innovation, Group Health Research Institute, 1730, Minor Ave, Suite 1600, Seattle, WA 98101-1448, USA
(Bengoa) Department of Health and Consumer Affairs, Government of the Basque Country, Donostia 1, 01010 Vitoria, Alava, Spain
Year
2011
Citation
Health Policy.
Journal
Health Policy
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Abstract
Objective: The aim of this research is to highlight the current relevance of the Innovative Care for Chronic Conditions (ICCC) Framework, as a model for change in health systems towards better care for chronic conditions, as well as to assess its impact on health policy development and healthcare redesign to date. Method(s): The authors reviewed the literature to identify initiatives designed and implemented following the ICCC Framework. They also reviewed the evidence on the effectiveness, cost-effectiveness and feasibility of the ICCC and the earlier Chronic Care Model (CCM) that inspired it. Result(s): The ICCC Framework has inspired a wide range of types of intervention and has been applied in a number of countries with diverse healthcare systems and socioeconomic contexts. The available evidence supports the effectiveness of this framework's components, although no study explicitly assessing its comprehensive implementation at a health system level has been found. Conclusion(s): As awareness of the need to reorient health systems towards better care for chronic patients grows, there is great potential for the ICCC Framework to serve as a road map for transformation, with its special emphasis on integration, and on the role of the community and of a positive political environment. © 2011 Elsevier Ireland Ltd. All rights reserved.
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Article
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Health policy