This is true especially with regard to the 99 million Americans with a chronic disease. 1997).ДЄ key health policy question is, what would it take for consumers to become effective and informed managers of their health and health care? What skills, knowledge, beliefs, and motivations do they need to become вЂњactivatedвЂќ or more effectual health care actors? These are essential questions if we hope to improve the health care process, the outcomes of care, and control costs. A critical element in the model is activated patients, with the skills, knowledge, and motivation to participate as effective members of the care team ( Von Korff et al. 2002) emphasizes patient-oriented care, with patients and their families integrated as members of the care team. Second, the Chronic Illness Care Model ( Bodenheimer et al.

This approach also assumes that the combination of financial incentives and relevant information will increase their вЂњactivationвЂќ ( Gabel, Lo Sasso, and Rice 2002). This approach assumes that consumers will make more prudent health and health care choices when they are given financial incentives along with access to comparative cost and quality information. First, consumer-directed health plans rely on informed consumer choices to contain costs and improve the quality of care. Two significant emerging policy directions put patients and consumers in a key role for influencing health care quality and costs.

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