1 World Health Organization (WHO), Global status report on noncommunicable diseases 2010. 2011.
2 Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? ECP, 1998. 1(1).
3 Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288(15):p.1909–14.
4 Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775–9.
5 Chmiel C, et al. Four-year long-term follow-up of diabetes patients after implementation of the Chronic Care Model in primary care: a cross-sectional study. Swiss Med Wkly. 2017;147:p.w14522.
6 Frei A, et al. Implementation of the chronic care model in small medical practices improves cardiovascular risk but not glycemic control. Diabetes Care. 2014;37(4):1039–47.
7 Sahli R, Jungi M. Chronic Care Management in der Hausarztpraxis. Primairy And Hospital Care. 2017;17(3):46–30.
8 Korner M, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15–28.
9 Wagner EH. The role of patient care teams in chronic disease management. BMJ. 2000;320(7234):569–72.
10 Wagner EH, et al. Improving chronic illness care: translating evidence into action. Health Aff (Millwood), 2001;20(6):64–78.
11 PWC Health Research Institute, ROI for primary care: Building the dream team. 2016.
12 Zingg T, RS, Röthlisberger F, Digitalisierung in der ambulanten Gesundheitsversorgung. Schweizerische Ärztezeitung. 2019;100(5):113–116.
13 Mohr DC, et al. Behavioral intervention technologies: evidence review and recommendations for future research in mental health. Gen Hosp Psychiatry. 2013;35(4):332–8.
14 Rollo ME, et al. Evaluation of a Mobile Phone Image-Based Dietary Assessment Method in Adults with Type 2 Diabetes. Nutrients. 2015;7(6):4897–910.
15 Kessler D, et al. Therapist-delivered Internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet. 2009;374(9690):628–34.
16 Tate EB, et al. mHealth approaches to child obesity prevention: successes, unique challenges, and next directions. Transl Behav Med. 2013;3(4):406–15.
17 Smith W. Imperial College Health Partners, Evaluation Report: Diabetes Digital Behaviour Change Programmes: North West London Pilot. 2018.
18 Adams SG, et al. Systematic review of the chronic care model in chronic obstructive pulmonary disease prevention and management. Arch Intern Med. 2007;167(6):551–61.
19 Huber CA, et al. Effects of Integrated Care on Disease-Related Hospitalisation and Healthcare Costs in Patients with Diabetes, Cardiovascular Diseases and Respiratory Illnesses: A Propensity-Matched Cohort Study in Switzerland. Int J Integr Care. 2016;16(1):11.
20 Chiu S, et al. Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial. Am J Clin Nutr. 2016;103(2):341–7.
21 Hebert JR, et al. A dietitian-delivered group nutrition program leads to reductions in dietary fat, serum cholesterol, and body weight: the Worcester Area Trial for Counseling in Hyperlipidemia (WATCH). J Am Diet Assoc. 1999;99(5):544–52.
22 Gaede P, et al. Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med. 2003;348(5):383–93.
23 Tsai AG, Wadden TA. Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142(1):56–66.
24 Reichheld, FF. The one number you need to grow. Harward Business Review. 2003;5534.
25 Steurer-Stey C, et al. Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland. Health Qual Life Outcomes. 2010;8:122.
27 Salisbury C, et al. Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach. Lancet. 2018;392(10141):41–50.
28 Martinez-Gonzalez NA, et al. Integrated care programmes for adults with chronic conditions: a meta-review. Int J Qual Health Care. 2014;26(5):561–70.