Abstract

AbstractWith the ageing population and therapeutic advances in acute and chronic disease treatment, more patients are living with at least one chronic condition. The management of a patient's chronic condition is complicated by the simultaneous presence of multiple competing comorbidities and the intrapersonal and external factors that influence chronic care. The current US healthcare system is largely organised around the management of acute illness and as a result is struggling to meet the challenges of complex chronic care. These challenges require innovative strategies to improve patient care and clinical outcomes. This paper explores some of the challenges faced by patients, healthcare providers and healthcare systems, and reviews new avenues of health services research that target these challenges.

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