Successful Models of Care for Older Adults with Chronic Conditions: ‘Retooling for an Aging America’ Report

Key Questions Answered
  • How can I provide effective chronic care to older adults?
  • What are the specific benefits of various care models?
Key Themes and Takeaways

This resource, published in 2009, synthesizes 123 high-quality research articles reporting positive outcomes from comprehensive care for older adults with chronic conditions.

  • The paper identified 15 models within the 123 articles that are capable of improving the quality, outcomes, or efficiency of care.
  • The types of models included ones based on interdisciplinary primary care (a team made up of a primary care doctor and one or more other health care professionals, who communicate frequently), care or case management (a nurse or social worker helping chronically ill individuals and their families identify problems and navigate the health system), and disease management programs (programs that give individuals information about their chronic conditions in writing or by telephone).
  • The resource recommends that United States health systems test these models.
  • The resource also recommends that the Centers for Medicare and Medicaid Services be granted the flexibility to pay for comprehensive care models.
Chad Boult
Ariel Frank Green
Lisa B. Boult
James T. Pacala
James T. Pacala
Bruce Leff
Population Addressed
Frail Older Adults
People with Multiple Chronic Conditions
Level of Evidence
Systematic Review (without Evidence Grading); Moderate Evidence
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