The paper topics include depression and chronic illness and community care models for chronic disease. These papers are found in Appendixes A and B.


The introductory chapter provides the background and premise for this report, the charge to the committee, the scope of the study, and the method for this report.

Chapter 1, “Living Well with Chronic Illness,” describes the conceptual frameworks and population-based approach used for development of this report. It also provides a contextual construct for discussion and information in the chapters to follow.

Chapter 2, “Chronic Illnesses and the People Who Live with Them,” explores the differences, similarities, and clinical stages among many chronic illnesses; discusses the burden of chronic illness on both those who live with them and their communities; highlights nine exemplar conditions that are clinically important, impact function and disability, impact the community, families, and caregivers, and represent an important challenge to public health; and discusses the economic consequences of chronic illness on the nation’s health.

Chapter 3, “Policy,” describes the challenges and opportunities for developing and testing promising policies and approaches, and using current legislation that supports community-level programs and actions to help people who are living with chronic illness live better.

Chapter 4, “Community-Based Intervention,” provides an overview of the state of the art of community-based interventions aimed at helping people live well with chronic illness.

Chapter 5, “Surveillance and Assessment,” describes the conceptual framework for chronic disease surveillance and explains how appropriate surveillance methods can enhance living well with chronic illness by providing information and data for public health policies and interventions. This chapter also examines and identifies gaps in the current data sources and methods for surveillance of certain chronic illnesses and discusses future data sources, methods, and research directions for surveillance to enhance living well with chronic illness.

Chapter 6, “Interface of the Public Health System, the Health Care System, and the Non–Health Care Sector,” examines how the public health and health care systems and non–health care organizations could align to improve outcomes in prevention and management of chronic diseases.

Chapter 7, “The Call for Action,” describes the committee’s findings and conclusions.

Appendix A is a paper by Wayne J. Katon called “Improving Recognition

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