Article

Integrated care for chronic conditions: The contribution of the ICCC Framework

Basque Institute for Healthcare Innovation, Plaza Asua 1, 48150 Sondika, Vizcaya, Spain.
Health Policy (Impact Factor: 1.73). 11/2011; 105(1):55-64. DOI: 10.1016/j.healthpol.2011.10.006
Source: PubMed

ABSTRACT 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.
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.
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.
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.

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    • "Changes in physical, social, economic, information, and policy environments during the past 30 years have contributed to large increases in childhood obesity rates in the United States (1,2). No single solution will be sufficient to offset these trends — large reductions in childhood obesity rates require action from multiple stakeholders, and public policy action is essential (3–16). "
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    Preventing chronic disease 11/2013; 10:E195. DOI:10.5888/pcd10.130164 · 1.96 Impact Factor
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    • "Integrated care models promise to provide a solution to control these health care challenges [13,14]. For designing such integrated care models, the Chronic Care Model (CCM) [15] provides a solid and evidence based framework, as acknowledged by the World Health Organization [16]. The CCM was developed to transform the health care system into a system that is equipped for chronic diseases by offering proactive, patient-centered, and integrated care. "
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