General MedicineTier 2Topic overview

Chronic and complex care

Framing

  • Managing chronic and complex disease requires attention beyond the individual disease process alone - care coordination across multiple providers, health system resourcing and access barriers (cost, distance, after-hours availability), and the compounding impact of physical, cognitive, and intellectual disability on management complexity all shape real-world outcomes as much as disease-specific treatment choices
  • A well-coordinated, appropriately resourced care plan for a patient with multiple chronic conditions is often the limiting factor for good outcomes, more than any single disease-specific treatment decision

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