Family practice and chronic care model
Prevention, treatment and rehabilitation of chronic diseases are important components of a family physician’s practice. However, it is known that there are several problems regarding chronic care management. There is reasonably high percentage of undiagnosed chronic diseases in the community and a high percentage of diagnosed patients do not reach treatment targets. “Chronic care model” developed by Ed Wagner et al, aims to have better management of chronic diseases by using strategies, targets and protocols. This model includes 6 components: community linkages, heath care delivery system, self-management support, delivery system design, decision support and clinical information systems. This review deals with Chronic Care Model and presents evidence of efficacy when applied to primary care. Recent evidence supports that by implementing this model, improvements in parameters related with clinical practice and patient outcomes can be achieved.