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Qual Saf Health Care 2004;13:299-305
© 2004 BMJ Publishing Group Ltd & Institute for Healthcare Improvement


DEVELOPING RESEARCH AND PRACTICE

Improving the quality of health care for chronic conditions

J E Epping-Jordan1, S D Pruitt2, R Bengoa1, E H Wagner3

1 World Health Organization, Geneva, Switzerland
2 Kaiser Permanente, Sacramento, CA, USA
3 MacColl Institute for Healthcare Innovation, Seattle, WA, USA

Correspondence to:
J Epping-Jordan
Coordinator, Health Care for Chronic Conditions (CCH), Noncommunicable Diseases and Mental Health (NMH), World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland; eppingj{at}who.int
ABSTRACT
Chronic conditions are increasingly the primary concern of healthcare systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute for Healthcare Innovation to adapt the Chronic Care Model (CCM) from a global perspective. The resultant effort is the Innovative Care for Chronic Conditions (ICCC) framework which expands community and policy aspects of improving health care for chronic conditions and includes components at the micro (patient and family), meso (healthcare organisation and community), and macro (policy) levels. The framework provides a flexible but comprehensive base on which to build or redesign health systems in accordance with local resources and demands.


Keywords: chronic care model (CCM); innovative care for chronic conditions (ICCC) framework; international health; quality improvement


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