Integrated care for chronic conditions: the contribution of the ICCC Framework

Health Policy. 2012 Apr;105(1):55-64. doi: 10.1016/j.healthpol.2011.10.006. Epub 2011 Nov 8.


Objective: The aim of this research is to highlight the current relevance of the Innovative Care for Chronic Conditions (ICCC) Framework, as a model for change in health systems towards better care for chronic conditions, as well as to assess its impact on health policy development and healthcare redesign to date.

Methods: The authors reviewed the literature to identify initiatives designed and implemented following the ICCC Framework. They also reviewed the evidence on the effectiveness, cost-effectiveness and feasibility of the ICCC and the earlier Chronic Care Model (CCM) that inspired it.

Results: The ICCC Framework has inspired a wide range of types of intervention and has been applied in a number of countries with diverse healthcare systems and socioeconomic contexts. The available evidence supports the effectiveness of this framework's components, although no study explicitly assessing its comprehensive implementation at a health system level has been found.

Conclusions: As awareness of the need to reorient health systems towards better care for chronic patients grows, there is great potential for the ICCC Framework to serve as a road map for transformation, with its special emphasis on integration, and on the role of the community and of a positive political environment.

Publication types

  • Review

MeSH terms

  • Chronic Disease / therapy*
  • Delivery of Health Care, Integrated / organization & administration*
  • Health Personnel / organization & administration
  • Health Policy
  • Humans
  • Models, Organizational
  • Patient-Centered Care / organization & administration
  • World Health Organization / organization & administration