Health care 2020: reengineering health care delivery to combat chronic disease

Am J Med. 2015 Apr;128(4):337-43. doi: 10.1016/j.amjmed.2014.10.047. Epub 2014 Nov 22.


Chronic disease has become the great epidemic of our times, responsible for 75% of total health care costs and the majority of deaths in the US. Our current delivery model is poorly constructed to manage chronic disease, as evidenced by low adherence to quality indicators and poor control of treatable conditions. New technologies have emerged that can engage patients and offer additional modalities in the treatment of chronic disease. Modifying our delivery model to include team-based care in concert with patient-centered technologies offers great promise in managing the chronic disease epidemic.

Keywords: Chronic disease; Health care delivery; Information technology; Social networking.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease / economics
  • Chronic Disease / epidemiology*
  • Chronic Disease / mortality
  • Chronic Disease / therapy*
  • Delivery of Health Care / economics
  • Delivery of Health Care / standards
  • Delivery of Health Care / trends*
  • Delivery of Health Care, Integrated / trends
  • Disease Management*
  • Evidence-Based Medicine / trends*
  • Health Care Costs*
  • Humans
  • Medical Errors*
  • Patient-Centered Care / standards
  • Physicians, Primary Care / statistics & numerical data*
  • Population Dynamics
  • Precision Medicine / trends
  • Primary Health Care / economics
  • Primary Health Care / standards
  • Primary Health Care / trends
  • Quality Assurance, Health Care / trends
  • Risk Factors
  • Social Support
  • United States / epidemiology
  • Workload*