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Management of Populations With Multiple Chronic Conditions in Ontario: Suggested Components of Standard Care & Performance Measurement for Shared Accountability

The high prevalence of chronic conditions and the common occurrence of multiple chronic conditions (MCC) simultaneously in the same individual creates a challenge for the health care systems worldwide. The way that the health care services are currently structured to manage acute events and exacerbations of chronic diseases is not appropriate for the management of patients with MCC. There is a compelling need for re-thinking the system and for restructuring the provision of care accordingly, to deliver integrated care where the patient is at the centre of the provision of services.