Managing Chronic Disease with an Internet-Supported Team


Chronic health conditions afflict an estimated 100 million Americans and account for as much as one-quarter of U.S. national health care expenditures. Yet the management of chronic illnesses has lagged behind advances in technology and medicine. Quality and effectiveness are compromised by poor communication and a general lack of coordination among the clinicians caring for a patient and between the patient and primary care doctor. Focusing on childhood asthma, a prototypic chronic disease, this randomized clinical trial will measure the impact on care of an interactive website that helps patients participate in the management of their disease by facilitating communication between the patient and the primary care practitioner and by educating patients about their disease. In addition, it will attempt to demonstrate that such Internet-based technology could be used to create a 'virtual' interdisciplinary team, foster teamwork, and even further improve clinical outcomes. If successful, this work could serve as a model for management of other chronic conditions.

Grant Details

Grantee Organization:
Boston Medical Center
Principal Investigator:
John Wiecha, M.D., M.P.H.
Award Amount:
Approval Date:
November 11, 2002

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