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Chronic care management encompasses the oversight and education activities conducted by health care professionals to help patients with chronic diseases and health conditions such as diabetes, high blood pressure, lupus, multiple sclerosis and sleep apnea learn to understand their condition and live successfully with it. This term is equivalent to disease management (health) for chronic conditions. The work involves motivating patients to persist in necessary therapies and interventions and helping them to achieve an ongoing, reasonable quality of life. == Chronic Care and the Medical System == Historically, there has been little coordination across the multiple settings, providers and treatments of chronic illness care. In addition, the treatments for chronic diseases are often complicated, making it difficult for patients to comply with treatment protocols. Effective medical care usually requires longer visits to the doctor's office than is common in acute care. Moreover, in treating chronic illnesses, the same intervention, whether medical or behavioral, may differ in effectiveness depending on when in the course of the illness the intervention is suggested. Fragmentation of care is a risk for patients with chronic diseases, because frequently multiple chronic diseases coexist. Necessary interventions can require input from multiple specialists that may not usually work together, and to be effective, they require close, careful coordination. As a consequence, patients with chronic conditions can fare poorly in the current acute-care model of care delivery. US History of Payment for Chronic Care Management 1/1/2015 Medicare started paying for services related to chronic care management. Medicare pays a monthly fee for patients who consent to treatment for a minimum of 20 minutes of tele-health services. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Chronic care management」の詳細全文を読む スポンサード リンク
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