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.
Vazquez-Benitez GV, Desai JR, Xu S, Goodrich GK, Schroeder EB, Nichols GA, Segal J, Kimes TM, Butler MG, Karter AJ, Steiner JF, Newton KM, Morales LS, Pathak RD, Thomas A, Reynolds K, Kirchner HL, Waitzfelder B, Lafata JE, Adibhatla R, Xu Z, O’Connor PJ. Preventable major cardiovascular events associated with uncontrolled glucose, blood pressure, lipids and active smoking in adults with diabetes with and without cardiovascular disease: a contemporary analysis. Diabetes Care. 2015 Feb 20. pii: dc141877. [Epub ahead of print]. PubMed
O'Hare AM, Wong SP, Yu MK, Wynar B, Perkins M, Liu CF, Lemon JM, Hebert PL. Trends in the timing and clinical context of maintenance dialysis initiation. J Am Soc Nephrol. 2015 Feb 19. pii: ASN.2013050531. [Epub ahead of print]. PubMed
Hamine S, Gerth-Guyette E, Faulx F, Green BB, Ginsburg AS. Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J Med Internet Res. 2015;17(2):e52. doi: 10.2196/jmir.3951. PubMed
Amtmann D, Askew RL, Kim J, Chung H, Ehde DM, Bombardier CH, Kraft GH, Jones SM, Johnson KL. Pain affects depression through anxiety, fatigue, and sleep in Multiple Sclerosis. Rehabil Psychol. 2015 Feb;60(1):81-90. doi: 10.1037/rep0000027. Epub 2015 Jan 19. PubMed
Saberi P, Catz SL, Leyden WA, Stewart C, Ralston JD, Horberg MA, Grothaus L, Silverberg MJ. Antiretroviral therapy adherence and use of an electronic shared medical record among people living with HIV. AIDS Behav. 2015 Jan 9 [Epub ahead of print]. 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, PhD, 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