What does "chronic care management" refer to in healthcare?

Chronic care management refers to a healthcare approach that specifically targets the coordination of care for patients who have chronic conditions such as diabetes, hypertension, or asthma. This approach recognizes that individuals with chronic illnesses often require ongoing care, monitoring, and support to manage their health effectively over time.

Coordinating care involves a multidisciplinary team working together to create a comprehensive care plan that addresses the patient's individual needs. This may include regular follow-ups, medication management, lifestyle modifications, and ensuring that patients have access to necessary resources and education to manage their conditions effectively.

This focus on continuity and integration of care helps to improve health outcomes, reduce hospitalizations, and enhance the overall quality of life for patients dealing with chronic diseases. It stands in contrast to approaches that prioritize immediate, short-term interventions or preventive measures without addressing the ongoing needs of patients with persistent health issues.