What do diabetes, back pain, depression, and heart disease have in common? They're among a host of chronic health problems and disabilities that have traditionally received too little attention from health care systems — until serious complications develop. Modern medicine tends to focus on detecting and treating acute problems, leaving fewer resources for the needs of patients with chronic illnesses, which may be less urgent but are equally important.
Our population is aging rapidly, and people with chronic conditions are living longer. Chronic conditions now affect more than 145 million Americans. About half of Americans over 65 — our nation’s fastest-growing segment — have at least 2 chronic conditions. As our need for improved chronic care grows, health care delivery systems are trying to correct the many deficiencies in current management of chronic diseases.
For over 2 decades, KPWHRI scientists have been developing, implementing, and promoting better models of care for chronic illness. Much of this work is led by the institute's Center for Accelerating Care Transformation (ACT Center), which is widely recognized for its refinement and dissemination of the Chronic Care Model. The ACT Center continues to work with providers nationwide to develop strategies and tools for health care systems seeking to improve chronic illness care.
Such resources are then shared globally through active engagement with international organizations developing guidance and care recommendations. Providers worldwide continue to adapt materials such as the ACT Center’s Patient Assessment of Chronic Illness Care and Patient-Centered Medical Home Assessment surveys.
Raebel MA, Xu S, Goodrich GK, Schroeder EB, Schmittdiel JA, Segal JB, O'Connor PJ, Nichols GA, Lawrence JM, Kirchner HL, Elston Lafata J, Butler M, Newton KM, Steiner JF. Initial antihyperglycemic drug therapy among 241,327 adults with newly identified diabetes from 2005 through 2010: a surveillance, prevention, and management of diabetes mellitus (SUPREME-DM) study. Ann Pharmacother. 2013;47(10):1280-91. doi: 10.1177/1060028013503624. PubMed
Parchman ML, Noel PH, Culler SD, Lanham HJ, Leykum LK, Romero RL, Palmer RF. A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects. Implement Sci. 2013 Aug 22;8(1):93. doi: 10.1186/1748-5908-8-93. PubMed
Crane PK, Walker R, Hubbard RA, Li G, Nathan DM, Zheng H, Haneuse S, Craft S, Montine TJ, Kahn SE, McCormick W, McCurry SM, Bowen JD, Larson EB. Glucose levels and risk of dementia. N Engl J Med. 2013;369(6):540-8. doi: 10.1056/NEJMoa1215740. PubMed
Arterburn D, Bogart A, Coleman KJ, Haneuse S, Selby J, Sherwood NE, Sidney S, Theis MK, Campos GM, McCulloch D, O'Connor P. Comparative effectiveness of bariatric surgery vs. nonsurgical treatment of type 2 diabetes among severely obese adults Obes Res Clin Pract. 2013 Jul-Aug;7(4):e235-320. doi: 10.1016/j.orcp.2012.08.196. PubMed
Cervenka MC, Lesser R, Tran TT, Fortune T, Muthugovindan D, Miglioretti DL. Does the teddy bear sign predict psychogenic nonepileptic seizures? Epilepsy Behav. 2013 Aug;28(2):217-20. doi: 10.1016/j.yebeh.2013.05.016. Epub 2013 Jun 14. PubMed
Beverly B. Green, MD, MPHSenior Investigator |
James D. Ralston, MD, MPHSenior Investigator |
Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
Katie Coleman, MSPHDirector, ACT Center |
Gregory E. Simon, MD, MPHSenior Investigator |
Katharine A. Bradley, MD, MPHSenior Investigator |
Jennifer B. McClure, PhDDirector, Investigative Science |
Dori E. Rosenberg, PhD, MPHSenior Investigator |
Ben Balderson, PhDSenior Collaborative Scientist |
Joseph E. Glass, PhD, MSWAssociate Investigator |
Yu-Ru Su, PhDAssociate Biostatistics Investigator |
Chloe Krakauer, PhDCollaborative Biostatistician |
Mikael Anne Greenwood-Hickman, MPHCollaborative Scientist |
Laurel Hansell, MA, MPHCollaborative Scientist |
Claire Allen, MPHManager, Collaborative Science |
Morgan Justice, MACollaborative Scientist |
Laura-Mae Baldwin, MD, MPH
Professor, Department of Family Medicine
University of Washington
Linda LeResche, ScD
Associate Dean for Research, School of Dentistry
Professor, Oral Medicine
University of Washington