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.
Ralston JD, Anderson M, Ng J, Bashir A, Ehrlich K, Burns-Hunt D, Cotton M, Hansell L, Hsu C, Hunt H, Karter AJ, Levy SM, Ludman E, Madziwa L, Omura EM, Rogers K, Sevey B, Shaw JAM, Shortreed SM, Singh U, Speight J, Sweeny A, Tschernisch K, Sergei Tschernisch S, Yarborough L Preventing severe hypoglycemia in adults with type 2 diabetes (PHT2): Design, delivery and evaluation framework for a randomized controlled trial 2024 Apr;139:107456. doi: 10.1016/j.cct.2024.107456. Epub 2024-01-20. PubMed
Parchman ML, Stefanik-Guizlo K, Penfold RB, Holden E, Shah AC Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs 2024 Mar 15;28(1):62-67. doi: 10.7812/TPP/23.106. Epub 2023-12-20. PubMed
Rosenberg DE, Cruz MF, Mooney SJ, Bobb JF, Drewnowski A, Moudon AV, Cook AJ, Hurvitz PM, Lozano P, Anau J, Theis MK, Arterburn DE Neighborhood built and food environment in relation to glycemic control in people with type 2 diabetes in the moving to health study 2024 Mar;86:103216. doi: 10.1016/j.healthplace.2024.103216. Epub 2024-02-23. PubMed
Courcoulas AP, Patti ME, Hu B, Arterburn DE, Simonson DC, Gourash WF, Jakicic JM, Vernon AH, Beck GJ, Schauer PR, Kashyap SR, Aminian A, Cummings DE, Kirwan JP Long-Term Outcomes of Medical Management vs Bariatric Surgery in Type 2 Diabetes 2024 Feb 27;331(8):654-664. doi: 10.1001/jama.2024.0318. PubMed
Lesser RP, Webber WRS, Miglioretti DL Pan-cortical electrophysiologic changes underlying attention 2024 Feb;14(1):2680. doi: 10.1038/s41598-024-52717-w. Epub 2024-02-01. PubMed
Claire Allen, MPHManager, Collaborative Science |
Ben Balderson, PhDSenior Collaborative Scientist |
Katharine A. Bradley, MD, MPHSenior Investigator |
Beverly B. Green, MD, MPHSenior Investigator |
Mikael Anne Greenwood-Hickman, MPHSenior Collaborative Scientist |
Susan Hickman, PhDDirector, Investigative Science; Senior Investigator |
Morgan Justice, MASenior Collaborative Scientist |
Chloe Krakauer, PhDCollaborative Biostatistician |
Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
James D. Ralston, MD, MPHSenior Investigator |
Dori E. Rosenberg, PhD, MPHSenior Investigator |
Gregory E. Simon, MD, MPHSenior Investigator |
Yu-Ru Su, PhDAssociate Biostatistics Investigator |
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