Andrew Wang, B.A.
Abel Kho, M.D.
Medicine
Practice Facilitation, Chronic Disease, Primary Care Practice, Patient Outcomes, Quality Improvement, Prevention, Cardio... [Read full text]
Third Floor, Feinberg Pavilion, Northwestern Memorial Hospital
More than 100 million individuals suffer from chronic disease in the United States. Practice facilitation is an intervention-based quality initiative that has been implemented in clinical care settings to help primary care practices reduce the harmful long term consequences of chronic disease. This systematic review provides an analysis of 28 studies, investigating the effects of practice facilitation on chronic disease in the primary care setting. Chronic disease outcomes of breast, cervical, and colorectal cancer, cardiovascular disease, chronic kidney disease, type 2 diabetes mellitus, and the management of chronic illness were evaluated. Taken together, the results of these studies show that practice facilitation improves chronic disease outcomes through increased cancer screening and treatment of asthma, cardiovascular disease, and diabetes. Thus, future work will need to further investigate the potential opportunities for practice facilitation to improve other preventable and treatable chronic diseases and to implement in other health care settings.