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.
Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the World Health Organization Quality of Life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-12. PubMed
Bonomi AE, Wagner EH, VonKorff M. Interaction between the health care system and management of symptoms in chronic disease. National Institute of Medicine’s Symptom Management On-Line Textbook. www.symptomresearch.org PubMed
Bogart LM, Catz SL, Kelly JA, Gray-Bernhardt ML, Hartmann BR, Otto-Salaj LL, Hackl KL, Bloom FR. Psychosocial issues in the era of new AIDS treatments from the perspective of persons living with HIV. J Health Psychol. 2000;5:489-507. PubMed
Kalichman SC, Catz SL. Stressors in HIV infection. In: Nott KH, Vedhara K (eds.), Psychosocial and biomedical interactions in HIV infection (pp. 31-60). Amsterdam: Harwood Academic Publishers. PubMed
Katon W, Von Korff M, Lin E, Simon G, Walker E, Unutzer J, Bush T, Russo J, Ludman E. Stepped collaborative care for primary care patients with persistent symptoms of depression: a randomized trial. Arch Gen Psychiatry. 1999;56(12):1109-15. PubMed
Beverly B. Green, MD, MPHSenior Investigator |
James D. Ralston, MD, MPHSenior Investigator |
Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
Katie Coleman, MSPHDirector, ACT Center |
Gregory E. Simon, MD, MPHSenior Investigator |
Katharine A. Bradley, MD, MPHSenior Investigator |
Jennifer B. McClure, PhDDirector, Investigative Science |
Dori E. Rosenberg, PhD, MPHSenior Investigator |
Ben Balderson, PhDSenior Collaborative Scientist |
Joseph E. Glass, PhD, MSWAssociate Investigator |
Yu-Ru Su, PhDAssociate Biostatistics Investigator |
Chloe Krakauer, PhDCollaborative Biostatistician |
Mikael Anne Greenwood-Hickman, MPHCollaborative Scientist |
Laurel Hansell, MA, MPHCollaborative Scientist |
Claire Allen, MPHManager, Collaborative Science |
Morgan Justice, MACollaborative Scientist |
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