Chronic disease management
Ageing and Chronic Care
Definition. Chronic disease management is the organised, proactive care of people with long-term conditions to maintain function, prevent complications and support self-management.
Explanation
Wagner’s chronic care model describes how health systems, delivery design, decision support, information systems and self-management support combine to improve chronic care (Wagner, 1998). Artificial intelligence is increasingly applied to chronic disease management, as bibliometric analysis shows (Pan et al., 2025).
Related concepts
Multimorbidity Primary health care Patient empowerment Telehealth
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References
Pan, M., Li, R., Wei, J., Peng, H., Hu, Z., Xiong, Y., Li, N., Guo, Y., Gu, W., & Liu, H. (2025). Application of artificial intelligence in the health management of chronic disease: bibliometric analysis. Frontiers in Medicine, 11, 1506641. https://doi.org/10.3389/fmed.2024.1506641
Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice, 1(1), 2–4.
Cite this entry: Kurutkan, M. N. (2026). Chronic disease management. In The Health Topics glossary. https://healthtopic.org/glossary/chronic-disease-management/