We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
December 1996 (Volume 74)
December 1996 | Edward H. Wagner, Brian T. Austin, Michael Von Korff
Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems. The medical literature suggests strategies to improve outcomes in these patients. Effective interventions tend to fall into one of five areas: the use of evidence-based, planned care; reorganization of practice systems and provider roles; improved patient self-management support; increased access to expertise; and greater availability of clinical information. The challenge is to organize these components into an integrated system of chronic illness care. Whether this can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care remains unanswered.
Author(s): Edward H. Wagner; Brian T. Austin; Michael Von Korff
Download the Article
Read on JSTOR
Volume 74, Issue 4 (pages 511–544)
Published in 1996
Edward H. Wagner
Donald M. Berwick
Provider Assessments, the Uninsured, and Uncompensated Care: Florida’s Public Medical Assistance Trust Fund
What Have HMOs Learned about Clinical Prevention Services? An Examination of the Experience at Group Health Cooperative of Puget Sound
Get the Latest from the Milbank Memorial Fund