Chronic care management

Patient education

Chronic care management

Image from The Big Draw 2009
Image from The Big Draw 2009

There is more awareness today that many health conditions do not go away and need to be managed not cured.

This has led to the government producing guidance on managing long term conditions, of which SCI can be considered to be one.

To manage chronic health conditions more effectively will require healthcare to change. Innovations in chronic SCI care may benefit from awareness of new developments in how chronic illnesses (such as diabetes, congestive heart failure) are being managed.


The chronic care model consists of six interrelated components:

  1. self-management support
  2. clinical information systems
  3. delivery system redesign
  4. decision support
  5. health care organization, and
  6. community resources.

Together, these six elements can produce system reform in which informed patients interact with prepared, proactive practice teams. Studies show that interventions based on the chronic care model can improve outcomes for those using the system and can be more cost effective.