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Strickland PA, Hudson SV, Piasecki A, Hahn K, Cohen D, Orzano AJ, Parchman ML, Crabtree BF. Features of the Chronic Care Model (CCM) associated with behavioral counseling and diabetes care in community primary care. Journal of the American Board of Family Medicine : JABFM. 2010 May 1; 23(3):295-305.
Very modest levels of CCM implementation in unsupported primary care practices are associated with improved care for patients with diabetes and higher rates of behavioral counseling. Incremental incorporation of CCM components is an option, especially for community practices with stretched resources and with cultures of "innovativeness."