ArticleResource Planning for Patient-centered, Collaborative CareWasson, John H. MD; Ahles, Tim PhD; Johnson, Debbie BA; Kabcenell, Andrea MPH, RN; Lewis, Ann MPH; Godfrey, Margie M. RN Author Information Dartmouth Medical School, Hanover, NH (Drs Wasson and Ahles and Mss Johnson and Godfrey); the Institute for Healthcare Improvement, Boston, Mass (Kapcenell); and the Care South Carolina, Hartsville, SC (Ms Lewis). Corresponding author: John H. Wasson, MD, 7265 Butler Bldg, Dartmouth Medical School, Hanover, NH 03755 (e-mail: [email protected]). The authors thank Scott Anders, MD, for patient stratification data from the Care South Carolina. This research was supported by grants from the Commonwealth Fund, The Agency for HealthCare Research and Quality (HS10265), and the Robert Wood Johnson Foundation. Journal of Ambulatory Care Management 29(3):p 207-214, July 2006. Buy Abstract In this article, we use self-reported information from 13,271 older adults and the results from several controlled trials to construct a planned-care management strategy that cuts across diseases and conditions and also addresses health disparities attributed to low socioeconomic status. Three strata result from the interaction of patients' financial status, the presence or absence of bothersome pain and psychosocial problems, and their confidence with self-care. A majority of ambulatory patients generally fall in the first stratum. More resources are required in the 2 remaining strata to attain patient-centered, collaborative care. Because the planned-care management strategy is behaviorally sophisticated, it is likely to be more efficient and effective than strategies based on concepts of disease management that focus on either a single disease or groupings of patients who are “high utilizers” of healthcare. We conclude that modern technologies and related approaches make resource planning for patient-centered, collaborative care feasible and desirable. © 2006 Lippincott Williams & Wilkins, Inc.