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Motivation to Change Chronic Illness Care: Results from a National Evaluation of Quality Improvement Collaboratives

Lin, Michael K.; Marsteller, Jill A.; Shortell, Stephen M.; Mendel, Peter; Pearson, Marjorie; Rosen, Mayde; Wu, Shin-Yi


Abstract: This article examines the motivation of health care professionals to improve quality of chronic illness care using the Chronic Care Model and Plan-Do-Study-Act cycles. The findings suggest that organizational attempts to redesign care require support of activities initiated by practitioners and managers and an organizational commitment to quality improvement.

Michael K. Lin, MSPH, School of Public Health, University of California-Berkeley. E-mail:

Jill A. Marsteller, PhD, University of California-Berkeley.

Stephen M. Shortell, PhD, University of California-Berkeley.

Peter Mendel, PhD, RAND Corporation.

Marjorie Pearson, PhD, RAND Corporation.

Mayde Rosen, RN, BSN, RAND Corporation.

Shin-Yi Wu, PhD, RAND Corporation.

© 2005 Lippincott Williams & Wilkins, Inc.