Other Patient & Consumer Resources

• AHRQ Prevention and Chronic Care
• Prevention and Chronic Care Announcement Details

Clinicians & Providers

• AHRQ Prevention and Chronic Care
• AHRQ Research on Caring for Children With Asthma
• Adverse Selection and the Effect of Health Insurance on Utilization of Prescribed Medicine among Patients with Chronic Conditions
• Assessment of Thiopurine Methyltransferase Activity in Patients Prescribed Azathioprine or Other Thiopurine-based Drugs
• Chronic Care for Low-Income Children with Asthma
• Effects of Documentation-based Decision Support on Chronic Disease Management
• Integrating Chronic Care and Business Strategies in the Safety Net
• Library of Resources for Chronic Diseases
• Managed Care Features and Chronic Conditions
• Multivitamin/Mineral Supplements
• Preventing Disability in the Elderly With Chronic Disease
• Toolkit for Implementing the Chronic Care Model in an Academic Environment
• Women With Diabetes: Quality of Health Care, 2004-2005

Hospital & Health System Resources

• AHRQ Prevention and Chronic Care
• AHRQ Research on Caring for Children With Asthma
• AHRQ's Multiple Chronic Conditions Research Network
• Chronic Care for Low-Income Children with Asthma
• Managed Care Features and Chronic Conditions
• State of Alabama
• The AHRQ Multiple Chronic Conditions Research Network
• Toolkit for Implementing the Chronic Care Model in an Academic Environment

Policymaker Resources

• AHRQ Prevention and Chronic Care
• Improving the Quality of Asthma Care
• State of Alabama
• Women With Diabetes: Quality of Health Care, 2004-2005

Fact Sheets

September 1 2012 20120901

Managed Care Features and Chronic Conditions

September 1 2012 20120901

Preventing Disability in the Elderly With Chronic Disease

May 1 2012 20120501

AHRQ's Multiple Chronic Conditions Research Network

June 1 2005 20050601

Chronic Care for Low-Income Children with Asthma

February 1 2000 20000201

AHRQ Research on Caring for Children With Asthma

Full Research Reports

December 1 2012 20121201

Integrating Chronic Care and Business Strategies in the Safety Net

December 1 2012 20121201

The AHRQ Multiple Chronic Conditions Research Network

September 1 2012 20120901

Women With Diabetes: Quality of Health Care, 2004-2005

Other Research & Data

• 2008 R21 Exploratory and Developmental Grants on Multiple Chronic Conditions
• 2010 R21 Exploratory Grants on Multiple Chronic Conditions
• 2010 R24 Expansion of Research Capability to Study Comparative Effectiveness in Complex Patients Grants
• A guided care approach helps curb health care costs of elderly patients with chronic conditions
• AHRQ Prevention and Chronic Care
• Administration on Aging
• Adverse Selection and the Effect of Health Insurance on Utilization of Prescribed Medicine among Patients with Chronic Conditions
• American Association of Clinical Endocrinologists
• British Columbia Ministry of Health
• Commonwealth of Pennsylvania
• Depression, hearing impairment, and health literacy influence older adults' abilities to self-manage their care
• Fletcher Allen Health Care
• Georgia QIO Uses AHRQ DVD and Brochure to Educate Medicare Patients About Safe Use of Blood Thinners
• Health literacy level has no impact on frequency of blood-glucose monitoring for inner-city patients with diabetes
• Highmark, Inc.
• Inner-city minority adults with chronic asthma are more likely to take inhaled medicine if they believe in its benefits
• Japan Chronic Disease Self-Management Association
• Kaiser Permanente Southern California; Riverside Medical Center, Riverside, California
• Kimball Medical Center
• Lower educational level increases the likelihood of preclinical changes in mobility in older women
• Mayo Clinic
• Milken Institute
• New York State Department of Health
• New York State Department of Health
• OSF Medical Group
• Physicians need better understanding of factors that patients use to decide about colorectal cancer screening
• Primary Health Care Centers Use AHRQ Materials to Help Patients Use Blood Thinners Safely
• Puerto Rican Diabetes Association Uses AHRQ's Effective Health Care Summary
• State of Alaska
• State of Alaska
• State of Illinois
• State of Iowa
• State of Kansas
• State of Montana
• State of New Hampshire
• State of New Jersey
• State of New York
• State of Virginia
• State of Wyoming
• Telephone counseling helps Korean Americans who speak little English improve hypertension management
• Texas Health and Human Services Commission
• Toolkit for Implementing the Chronic Care Model in an Academic Environment
• Tough questions get answers through health IT
• VCU Health Systems Clinic Uses AHRQ DVD and Brochures to Educate Patients About Safe Use of Blood Thinners
• Web videonovela series helps Spanish-speaking patients compare treatments for diabetes

Press Releases

September 26 2011 20110926

Report Finds DMARDs Effective in Treating Juvenile Arthritis

News & Numbers

March 20 2012 20120320

Six in 10 Obese Adults Have Joint Pain

March 7 2012 20120307

Hospital Readmission Rates Higher for Chronic Conditions

October 19 2011 20111019

Expenditures for Chronic Pain Care for Women at Nearly $13 Billion in 2008

July 28 2011 20110728

Drug Expenses for Children With Asthma More Than Doubled in 10 Years

March 3 2011 20110303

One in Four U.S. Adults Reported Having High Blood Pressure in 2008

May 5 2010 20100505

Disparities Widen in the Use of Asthma Medications

Other News & Events

• A guided care approach helps curb health care costs of elderly patients with chronic conditions
• A high percentage of patients with sickle cell disease self-discharge from hospital care
• A structured goal-setting approach can improve care outcomes for patients with type 2 diabetes
• AHRQ Prevention and Chronic Care
• AHRQ report finds unclear value of pretesting autoimmune disorder patients before prescribing thiopurine drugs
• About three fourths of patients in the United States estimated to remain in HIV care
• About three-fourths of patients in the United States estimated to remain in HIV care
• Access to care for patients with lupus affected by several local factors
• Administrative data alone are insufficient to understand equivalence of two common blood pressure drugs
• Annual screening for malignancy among children with spina bifida with cystoplasty unlikely to be cost effective
• Asthma project helps resident physicians improve care for minority patients
• Atypical antipsychotic medications increase fracture risk in patients with Parkinson's disease
• Automated quality measures can be used to improve asthma care
• Being overweight does not have a negative impact on quality of life after a kidney transplant
• Benefits of case management for chronic illness limited
• Benefits under the Affordable Care Act would have reduced out-of-pocket expenses
• Brand-name drugs not better than generics for controlling epilepsy
• Brief psychotherapy helps multiple sclerosis patients with insomnia and depression
• Bronchitis and asthma most commonly treated conditions among children
• Cancer patients more likely to face higher cost burdens than those with other chronic conditions
• Care for patients with HIV remains expensive
• Care setting affects likelihood that children with persistent asthma will receive inhaled steroids
• Caregiver dissatisfaction affects outpatient care for the elderly with dementia
• Caregivers for advanced cystic fibrosis patients want to discuss intensive treatments and symptom relief
• Certain patients with lupus are more likely to end up in the emergency department three or more times a year
• Children with juvenile idiopathic arthritis are at high risk of hospital stays that involve bacterial infections
• Children with special health care needs with disabilities have greater unmet health care needs than those without disabilities
• Children's use of asthma controller drugs doubles
• Chronic Care Model linked to exercise discussions during primary care office visits for diabetes
• Clinical inertia may represent good clinical judgment in hypertension telemanagement
• Clinician and patient resources now available on ADHD treatment options
• Community health center collaboratives improve care quality but have little impact on disparities
• Computerized clinical decision support produces only modest savings for nursing home residents with impaired kidney function
• Computerized tomography angiography may help determine appropriate treatment for stroke patients
• Connecting local providers to academic medical centers using video improved hepatitis C outcomes
• Consumer and clinician summaries now available on chronic pelvic pain treatment options
• Costly, ineffective tests used more often than more effective, but inexpensive tests to diagnose peripheral neuropathy
• Counseling education does not significantly boost residents' dietary counseling of patients with diabetes
• Depending on a woman's age, hysterectomy may be the best option for resolving chronic pelvic pain and heavy bleeding
• Depressed patients with anxiety who fail initial antidepressant therapy may benefit from adding a second drug
• Depression, hearing impairment, and health literacy influence older adults' abilities to self-manage their care
• Despite more widespread prescribing of antiretroviral therapy for HIV infection, disparities remain
• Despite their helpfulness to guiding care, home blood pressure readings are rarely documented in routine clinical care
• Diabetes testing plummets among poor, minority, and inner-city adults
• Diabetes treatment involves more multidrug regimens and high financial burden
• Diagnostic coding formulas underestimate hospitalizations for acute exacerbations of COPD
• Diet and medication adherence can reduce cardiovascular disease for patients with type 2 diabetes
• Disparities widen in the use of asthma medications
• Distance-based training in spirometry use increases the quality of asthma diagnosis
• Doctors underprescribe warfarin to prevent strokes in patients with atrial fibrillation and heart failure
• Drug expenses for children with asthma more than doubled in 10 years
• Drug-eluting stents appear safe for older patients with chronic kidney disease
• Drugs to treat hepatitis B may not prevent patients from liver disease later
• Dual Veterans Administration/Medicare users are not hospitalized more for ambulatory care sensitive conditions
• Dual therapy may be slightly less effective than triple therapy for chronic infection with hepatitis C virus
• Electronic health records improve diabetes care and outcomes
• Empowerment approach to diabetes education works better than the traditional didactic approach
• Evidence lacking on optimal transition-of-care programs for heart attack and stroke patients following hospitalization
• Evidence lacking on transition-of-care programs for heart attack and stroke patients after hospital discharge
• Evidence-based care processes are associated with improved outcomes for heart failure
• Experts seek better diagnosis and treatment for women's urinary incontinence and chronic pelvic pain
• Fewer heart bypass surgeries performed
• Fewer patients with primary sclerosing cholangitis die while awaiting liver transplants than those with other liver diseases
• Fewer than 1 in 5 emergency departments implement recommendations for HIV screening
• For hypertensive patients with diabetes, blood pressure drops quicker with more frequent interactions with clinicians
• For-profit dialysis chains have higher mortality rates than non-profit dialysis chain
• Fragmentation of care for complex diabetes patients may be associated with greater use of the emergency department
• Full use of evidence-based therapies for heart failure could save nearly 70,000 lives each year
• Glaucoma treatments can lower eye pressure
• HIV outcomes and medication use are similar between rural and urban HIV patients
• HIV/AIDS drugs have varied effects on lipid levels
• Half of all annual medical expenditures are for chronic diseases
• Health care costs of obesity are passed off to obese workers
• Health information technology-supported quality improvement initiative reduces some ambulatory care disparities
• Health literacy level has no impact on frequency of blood-glucose monitoring for inner-city patients with diabetes
• Heart failure hospitalization and mortality rates drop between 1998 and 2008
• Hospital readmissions for COPD highest among black patients
• Hospital readmissions higher for chronic conditions
• Human growth hormone shows promise in treating cystic fibrosis symptoms
• Hydroxychloroquine still underused by patients with lupus, but use more likely if treated by rheumatologists
• Impact of anti-arthritis drug on lipid levels in patients with rheumatoid arthritis remains unclear
• Increasing body mass index lowers quality of life in obese individuals
• Informal caregivers of older adults need more practical information to care for loved ones
• Inhaler costs contribute to medication nonadherence for Medicare patients with chronic pulmonary disease
• Injection of hyaluronic acid, a natural joint lubricant, appears effective in reducing pain from wear and tear on the knee
• Inmates remain at risk for HIV and HCV after release from prison
• Inner-city minority adults with chronic asthma are more likely to take inhaled medicine if they believe in its benefits
• Insulin pump and glucose monitoring improve blood-sugar control for diabetes patients
• Key treatments for high blood pressure and high blood lipids do not reduce elderly patients' risk of limited mobility
• Limited evidence of benefit of interventions during early stages of chronic kidney disease
• Limited evidence prevents firm conclusions on psoriatic arthritis drug therapies
• Limited evidence prevents firm conclusions on rheumatoid arthritis drug therapies
• Little evidence for benefit of interventions in the early stage of chronic kidney disease
• Lower educational level increases the likelihood of preclinical changes in mobility in older women
• Making nursing home quality reports public leads to improved posthospitalization care
• Many challenges remain in the design and use of consumer health informatics interventions
• Many patients with coronary artery disease who could benefit from cardiac rehabilitation are not referred for this treatment
• Market forces underlie provision of peritoneal dialysis by dialysis facilities
• Medical complications add 30 percent to employers' chronic care costs
• Medications differ in their effect on risk of foot ulcers and limb amputations in patients with diabetes
• Metformin just as effective as other medications for treating type 2 diabetes
• Metformin remains the medication of first choice in treating type 2 diabetes
• Minimally invasive heart treatments have reduced bypass surgeries and influenced valve repair and replacement
• More adults with diabetes are getting flu shots
• More stress means worse asthma in inner-city adults
• Most patients with type 2 diabetes suffer an adverse event between office visits
• Most spending on children's health care in Medicaid and CHIP goes for children with chronic health problems
• Moving adolescents with sickle cell disease from pediatric to adult care hampered by lack of knowledgeable adult hematologists
• Nearly 4 million adults reported being treated for kidney disease between 2003 and 2007
• New review evaluates treatment options for plaque psoriasis
• Nine percent of adults with hypertension have resistant hypertension
• No link found between stimulant treatment of youth with ADHD and cardiovascular problems
• No significant link found between treatments used for juvenile idiopathic arthritis and development of cancer
• Noninvasive positive pressure ventilation improves COPD patient outcomes
• Nurse-facilitated guided care for elders and their caregivers leads to improved perceptions of quality of care
• Obese patients with hypertension and diabetes have a greater risk of dying after noncardiac surgery
• Occupational back injuries lead to increased financial and domestic hardship for black and young workers
• Older patients with chronic conditions have greater risk of problems and death following bilateral knee replacement
• Older persons with chronic kidney disease and lower systolic blood pressure have higher mortality rates
• Only 75 percent of HIV patients stay in care
• Opioid prescriptions for treating chronic abdominal pain doubled between 1997 and 2008
• Opioid-naïve nursing home residents are commonly prescribed long-acting opioids, a potentially dangerous practice
• Overweight or obese patients have higher health care expenditures
• Paper previsit reminders for doctors do not add value to electronic reminders from an electronic health record system
• Partial kidney removal offers survival advantage for elderly patients with small tumors
• Patient tool helps determine adherence to asthma medication
• Patients taking only salmeterol seen in the emergency department for asthma more likely to be hospitalized
• Patients with chronic diseases who pay coinsurance less likely to refill their medication than those with fixed copayments
• Patients with heart failure are older, have more illnesses, and take more medications than earlier
• Patients with hepatitis C virus infection who adhere to their drug regimen are more likely to show long-term benefit
• Patients with inherited cancer syndrome need help with decisions and long-term support from their surgeons
• Patients with myelodysplastic syndrome have shorter survival times if they have coexisting medical conditions
• Patients with sickle cell disease employ various strategies to control their pain
• Patients' income and where they live influence hospitalization for chronic lung disease
• Pediatric visits for ADHD have risen and the condition is increasingly being managed by psychiatrists
• Personality factors play a role in responsiveness to disease self-management programs
• Physician-pharmacist teams can help lower blood pressure
• Physicians need better understanding of factors that patients use to decide about colorectal cancer screening
• Possible blood biomarkers for poorer asthma control identified
• Posttraumatic stress disorder (PTSD) associated with elevated hemoglobin A1c levels in low-income blacks with diabetes
• Potentially avoidable hospitalizations high among Medicare and Medicaid patients
• Predicting cardiovascular risk in patients with metabolic syndrome depends on definition used for the syndrome
• Preventive care for patients with lupus could be improved
• Primary care doctors often don't know that a child sought care for asthma in the emergency department
• Primary care model helps treat underserved patients with hepatitis C virus infection
• Primary care organizational characteristics are linked to the self-management behaviors of patients with diabetes
• Primary care practices can boost clinical preventive services with electronic health records and quality improvement support
• Process improvements in family practice lead to some improvements in intermediate outcomes
• Provider's communication style boosts results for acupuncture on arthritic knees
• Provider-patient dialogue could be improved to foster medication adherence in HIV care
• Providing customized clinical information to patients and physicians does not improve diabetes care
• Public insurance linked to longer perception of disease burden among children with asthma
• Quality improvement collaborative improves outcomes in children with inflammatory bowel disease
• Quality improvement collaborative improves outcomes in children with inflammatory bowel disease
• Rate of extrapulmonary TB highest among blacks
• Report Finds Off-Label Use of Atypical Antipsychotic Drugs Not Supported By Evidence for Some Conditions
• Report finds DMARDs effective in treating juvenile arthritis
• Response to etanercept for rheumatoid arthritis can be predicted by 12 weeks
• Retention in HIV care is a problem for many patients
• Review supports use of metformin as first-line therapy for patients without other contraindications
• Rise in prescription copays puts different patients at risk for nonadherence to medications
• Routinely collecting clinical data can improve pneumococcal vaccination of rheumatology patients on immunosuppressant drugs
• Screening based on risk factors and birth year boosts screening rates for hepatitis C
• Self-measured blood pressure monitoring to manage hypertension may offer a small benefit
• Single-lung transplantation for COPD improves access to transplantation without jeopardizing survival
• Six in 10 obese adults have joint pain
• Some assessment tools and medications are effective for chronic cough
• Some diabetes practice guidelines do not reflect all available evidence
• Some personality factors may affect success of chronic illness self-management programs
• Spending for prescriptions to control diabetes, cholesterol, and other metabolic conditions exceeds $52 billion
• Stroke recurrence rates vary by U.S. region
• Studies examine possible disparities surrounding implantable cardioverter defibrillators
• Studies examine safety of pain killers among older adults
• Study Finds Consumers Choose High-Value Health Care Providers When Given Good Cost and Quality Information
• Study fails to find link between guideline-based emergency treatment for pediatric asthma and patient outcomes
• Study finds regional differences in physicians' recommendations of implantable cardioverter-defibrillators
• Study identifies fractures most and least likely to be caused by osteoporosis
• Study outlines factors associated with untreated diabetes
• Study reveals high rates of rehospitalizations and emergency pain treatment for sickle cell disease
• Study shows Guided Care benefits family caregivers, chronically ill older adults, and physicians, and may reduce costs
• Survival rates for colon cancer patients on chemotherapy improve with addition of oxaliplatin
• Team-based care of patients with hypertension improves control of blood pressure
• Teenage body size does not predict heart failure in older adults
• Telephone coaching improves quality of life for parents of children with asthma
• Telephone counseling helps Korean Americans who speak little English improve hypertension management
• The challenge of prioritizing care for complex patients
• The likelihood of bacterial blood infections among patients with HIV has risen slightly in recent years
• The number of U.S. adults treated for diabetes more than doubled between 1996 and 2007
• The quality of children's asthma care is affected by emergency department crowding
• Tough questions get answers through health IT
• Trends in treating depression favor psychotropic medications over psychotherapy
• Tumor necrosis factor-antagonists in patients with autoimmune diseases showed no overall increased risk of hospitalizations for serious infections than non-biologic drugs
• Uncontrolled asthma events among Massachusetts patients declined between 2002 and 2007
• Urinary Incontinence New Hope
• Web videonovela series helps Spanish-speaking patients compare treatments for diabetes
• Wellness education and physical therapy improve health and functioning of persons with multiple sclerosis