Uncomfortable Truths — What Covid-19 Has Revealed about Chronic-Disease Care in America

Chronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations. Too often, care systems are based on tradition, self-interest, and revenue generation.

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Published in:The New England journal of medicine Vol. 385; no. 18; pp. 1633 - 1636
Main Author: Chin, Marshall H
Format: Journal Article
Language:English
Published: Boston Massachusetts Medical Society 28-10-2021
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Abstract Chronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations. Too often, care systems are based on tradition, self-interest, and revenue generation.
AbstractList Chronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations. Too often, care systems are based on tradition, self-interest, and revenue generation.
Uncomfortable TruthsChronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations. Too often, care systems are based on tradition, self-interest, and revenue generation.
Author Chin, Marshall H
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  organization: From the Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago
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Cites_doi 10.1210/clinem/dgab229
10.5888/pcd18.210086
10.1056/CAT.21.0129
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References Nundy, S (r3) 2021
Chin, MH (r5) 2020
Japinga, M, Singletary, E, McClellan, M (r4) 2021; 2
Hacker, KA, Briss, PA, Richardson, L, Wright, J, Petersen, R (r1) 2021; 18
Chin, MH (r2) 2021
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  article-title: New horizons — addressing healthcare disparities in endocrine disease: bias, science, and patient care.
  publication-title: J Clin Endocrinol Metab ;(Epub ahead of print)
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    fullname: Chin, MH
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  article-title: Care after Covid: what the pandemic revealed is broken in healthcare and how to reinvent it
  publication-title: McGraw-Hill ;New York
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    fullname: Nundy, S
– volume: 2
  year: 2021
  ident: r4
  article-title: How telehealth expansion can support comprehensive virtual care
  publication-title: NEJM Catalyst
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    fullname: McClellan, M
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  article-title: Advancing health equity in patient safety: a reckoning, challenge and opportunity.
  publication-title: BMJ Qual Saf ;(Epub ahead of print)
  contributor:
    fullname: Chin, MH
– volume: 18
  start-page: E62
  year: 2021
  end-page: E62
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  article-title: COVID-19 and chronic disease: the impact now and in the future.
  publication-title: Prev Chronic Dis
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    fullname: Petersen, R
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Snippet Chronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations. Too often, care...
Uncomfortable TruthsChronic-disease care in the United States doesn’t support optimal patient health and experience, especially for marginalized populations....
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SubjectTerms Alzheimer's disease
and Education
Cardiology
Chronic illnesses
Clinical Practice
Collaboration
Coronaviruses
COVID-19
Diabetes
Disease management
Disease transmission
Endocrinology
FDA approval
Football
Health Care Delivery
Health Policy
Hospitalist
Hypertension
Medical personnel
Medical Practice
Mental health
Pandemics
Patient-centered care
Primary Care
Public Health
Quality of Care
Teams
Telemedicine
Training
SubjectTermsDisplay Cardiology
Diabetes
Endocrinology
Health Care Delivery
Health Policy
Hypertension
Medical Practice, Training, and Education
Primary Care/Hospitalist/Clinical Practice
Public Health
Quality of Care
Title Uncomfortable Truths — What Covid-19 Has Revealed about Chronic-Disease Care in America
URI https://nejm.org/doi/full/10.1056/NEJMp2112063
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