It is conceivable that patient education, as part of multidisciplinary treatment, may contribute to improve chronic pain syndromes [114].
Patient portals may improve pediatric chronic disease outcomes, but few have been rigorously evaluated for usability by parents.
In this way, lessons learned from the VA's efforts to reorganize life-sustaining dialysis care, as a component of comprehensive patient care for those with ESRD, may inform strategies to improve chronic disease care delivery in ACOs and other health systems.
Conceptualizing healthcare settings such as primary care as clinical microsystems gives us insight into the dynamics of clinical systems, and may make our efforts to improve chronic care delivery more effective.
One element of the Chronic Care Model that has not been studied extensively, but which nevertheless may offer a realistic opportunity to improve chronic care, is the use of clinical information systems.
However, all health service staff reported that acute care demands often prevented the development of community relationships that may have improved chronic care.
