The ironic business case for chronic care in the acute care setting

Albert L. Siu, Lynn H. Spragens, Sharon K. Inouye, R. Sean Morrison, Bruce Leff

Research output: Contribution to journalArticlepeer-review

47 Scopus citations


The U.S. health care system provides acute care tools to deal with the problems of chronic disease, and strategies are needed to engage hospitals in chronic care innovations. Acute care-based models that improve chronic care have been developed, but their diffusion is limited by the absence of a business case for adoption. Yet a financial case for improving chronic care is possible by aggregating previously tested models into a service line that can be customized to local circumstances. Beyond benefits to hospitals, patients and payers could benefit from improved patient outcomes and costs; society could benefit from more appropriate deployment of resources.

Original languageEnglish (US)
Pages (from-to)113-125
Number of pages13
JournalHealth Affairs
Issue number1
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Health Policy


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