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, Jim Naessens, Thomas E. Kottke

Research output: Contribution to journalReview article

35 Scopus citations

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 1 2005

Keywords

  • Chronic disease
  • Diabetes
  • Hypertension
  • Medically uninsured

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Adapting the chronic care model to treat chronic illness at a free medical clinic'. Together they form a unique fingerprint.

  • Cite this

    Stroebel, R. J., Gloor, B., Freytag, S., Riegert-Johnson, D., Smith, S. A., Huschka, T., Naessens, J., & 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