Managing multiple chronic conditions: a strategic framework for improving health outcomes and quality of life

Public Health Rep. 2011 Jul-Aug;126(4):460-71. doi: 10.1177/003335491112600403.


The escalating problem of multiple chronic conditions (MCC) among Americans is now a major public health and medical challenge, associated with suboptimal health outcomes and rising health-care expenses. Despite this problem's growth, the delivery of health services has continued to employ outmoded "siloed" approaches that focus on individual chronic diseases. We describe an action-oriented framework--developed by the U.S. Department of Health and Human Services with additional input provided by stakeholder organizations--that outlines national strategies for maximizing care coordination and for improving health and quality of life for individuals with MCC. We note how the framework's potential can be optimized through some of the provisions of the new Patient Protection and Affordable Care Act, and through public-private partnerships.

MeSH terms

  • Chronic Disease / therapy*
  • Health Education / organization & administration
  • Health Services Research / organization & administration
  • Humans
  • Patient Care Management / organization & administration*
  • Patient Protection and Affordable Care Act
  • Public Health / methods*
  • Quality of Life*
  • Self Care / methods
  • Treatment Outcome
  • United States
  • United States Dept. of Health and Human Services / organization & administration