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People with chronic health problems are heaviest users of medical care, but system not organized to meet their needs

ntly, doctors and nurses are trained in hospitals where they handle acute cases and the "appointment of the day." While this strengthens diagnostic skills, it does not provide training for coordinating care for long-term conditions. Insurance companies should also compensate doctors and other caregivers for the time they spend coordinating care for patients, instead of only paying the single office visit.

"Care for chronic conditions is the number one reason people seek medical attention. The current system is not working for 40 percent of the population. Policy makers need to take the lead to create a health care system that integrates financing and care delivery," says Dr. Anderson.


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Contact: Tim Parsons or Ming Tai
paffairs@jhsph.edu
410-955-6878
Johns Hopkins University Bloomberg School of Public Health
14-Dec-2001


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