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Previous Volume 341:767-768 September 2, 1999 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: As Bodenheimer (April 15 issue)¹ acknowledges, small health maintenance organizations (HMOs), medical groups, and community clinics lacking the resources to implement programs of chronic disease management may need to contract with a specialized vendor. Many of these vendors are for-profit entities. In Bodenheimer's view, such partnerships may result in "a fragmented collection of specialized facilities centered on diseases rather than people" and failure to recognize that "people with chronic diseases often have multiple conditions plus acute problems that are unrelated to their chronic illnesses." But, in fact, disease-management systems, however financed, can be structured to focus on . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Howard, R, Sanders, R, Lydall-Smith, S. (2008). The implementation of Restoring Health - a chronic disease model of care to decrease acute health care utilization. Chronic Respiratory Disease 5: 133-141 [Abstract]