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Previous Volume 356:2422-2424 June 7, 2007 Number 23 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: The Special Article by Landon and colleagues (March 1 issue)¹ on improving the management of chronic disease at community health centers illustrates the importance of identifying appropriate outcomes when measuring the effectiveness of interventions to improve processes of care. Establishing a more realistic schedule than that used in this study for assessing the effect of the program might have yielded a different picture. Sufficient time needs to be allowed for the measurement of clinical outcomes, particularly regarding outcomes of patients with chronic disease. Process interventions to improve outcomes in chronic disease have been shown to be associated . . . [Full Text of this Article]

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