Adapting the chronic care model to treat chronic illness at a free medical clinic

Robert J. Stroebel, Bonnie Gloor, Sue Freytag, Douglas Riegert-Johnson, Steven A. Smith, Todd Huschka, James M Naessens, Thomas E. Kottke

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

This pilot project was designed to determine the feasibility and effectiveness of an adaptation of the chronic care model applied to uninsured patients in a free medical clinic staffed by volunteer physicians. Of the 149 enrolled patients, 117 had hypertension, 91 had diabetes, and 51 had hyperlipidemia. Patients were enrolled in a chronic disease registry from March 1, 2001 through September 30, 2002 at the Salvation Army Free Clinic (SAFC). Two part-time registered nurses served as care managers providing disease-specific management using evidence-based guidelines. Consistent specialty consultation was available via phone, e-mail, or physician visit. Patient self-management was encouraged through collaborative goal setting. There were 40 patients lost to follow-up; 109 completed the study. A clinically significant improvement was obtained in at least one chronic disease for 79 patients. The chronic care model was a useful template for the delivery of effective chronic disease care to a group of uninsured patients at a free medical clinic.

Original languageEnglish (US)
Pages (from-to)286-296
Number of pages11
JournalJournal of Health Care for the Poor and Underserved
Volume16
Issue number2
DOIs
StatePublished - May 2005

Fingerprint

chronic illness
Chronic Disease
Disease
physician
hypertension
pilot project
e-mail
management
military
nurse
Physicians
manager
Lost to Follow-Up
Postal Service
Self Care
Disease Management
Hyperlipidemias
Registries
Volunteers
Referral and Consultation

Keywords

  • Chronic disease
  • Diabetes
  • Hypertension
  • Medically uninsured

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Social Sciences (miscellaneous)

Cite this

Stroebel, R. J., Gloor, B., Freytag, S., Riegert-Johnson, D., Smith, S. A., Huschka, T., ... Kottke, T. E. (2005). Adapting the chronic care model to treat chronic illness at a free medical clinic. Journal of Health Care for the Poor and Underserved, 16(2), 286-296. https://doi.org/10.1353/hpu.2005.0041

Adapting the chronic care model to treat chronic illness at a free medical clinic. / Stroebel, Robert J.; Gloor, Bonnie; Freytag, Sue; Riegert-Johnson, Douglas; Smith, Steven A.; Huschka, Todd; Naessens, James M; Kottke, Thomas E.

In: Journal of Health Care for the Poor and Underserved, Vol. 16, No. 2, 05.2005, p. 286-296.

Research output: Contribution to journalArticle

Stroebel, RJ, Gloor, B, Freytag, S, Riegert-Johnson, D, Smith, SA, Huschka, T, Naessens, JM & Kottke, TE 2005, 'Adapting the chronic care model to treat chronic illness at a free medical clinic', Journal of Health Care for the Poor and Underserved, vol. 16, no. 2, pp. 286-296. https://doi.org/10.1353/hpu.2005.0041
Stroebel, Robert J. ; Gloor, Bonnie ; Freytag, Sue ; Riegert-Johnson, Douglas ; Smith, Steven A. ; Huschka, Todd ; Naessens, James M ; Kottke, Thomas E. / Adapting the chronic care model to treat chronic illness at a free medical clinic. In: Journal of Health Care for the Poor and Underserved. 2005 ; Vol. 16, No. 2. pp. 286-296.
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