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Figure 2: Chronic Care Model

The chronic care model has six components that include both the community and the heath system. They are: community resources and policies, health care organization, self-management support, delivery system design, decision support, and clinical information systems. These components lead to productive interactions between an informed, activated patient and a prepared, proactive practice team. These result in improved outcomes.

Source: Adapted from Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice 1998;1:2-4. Used with permission.

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