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.
Alschuler KN, Gibbons LE, Rosenberg DE, Ehde DM, Verrall Am, Bamer AM, Jensen MP Body mass index and waist circumference in persons aging with muscular dystrophy, multiple sclerosis, post-polio syndrome, and spinal cord injury. Disabil Health J. 2012 Jul;5(3):177-84. Epub 2012 May 2. PubMed
Chubak J, Anderson ML, Saunders KW, Hubbard RA, Tuzzio L, Liss DT, Morales LS, Reid RJ. Predictors of 1-year change in patient activation among older adults with diabetes and heart disease. J Am Geriatr Soc. 2012 Jul;60(7):1316-21. doi: 10.1111/j.1532-5415.2012.04008.x. PubMed
Garg R, Chen Z, Beck T, Cauley JA, Wu G, Nelson D, Lewis B, LaCroix A, Leboff MS. Hip geometry in diabetic women: implications for fracture risk. Metabolism. 2012 Dec;61(12):1756-62. doi: 10.1016/j.metabol.2012.05.010. Epub 2012 Jun 20. PubMed
Nichols GA, Desai J, Elston Lafata J, Lawrence JM, O'Connor PJ, Pathak RD, Raebel MA, Reid RJ, Selby JV, Silverman BG, Steiner JF, Stewart WF, Vupputuri S, Waitzfelder B. Construction of a multisite datalink using electronic health records for the identification, surveillance, prevention, and management of diabetes mellitus: the SUPREME-DM project. Prev Chronic Dis. 2012;9:E110. Epub 2012 Jun 7. PubMed
Cholerton B, Baker LD, Trittschuh EH, Crane PK, Larson EB, Arbuckle M, Hernandez H, McCurry SM, Bowen JD, McCormick WC, Craft S. Insulin and sex interactions in older adults with mild cognitive impairment. J Alzheimers Dis. 2012;31(2):401-10. 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