RT Journal Article T1 [Critical view and argumentation on chronic care programs in Primary and Community Care]. T2 Visión crítica y argumentación sobre los programas de atención de la cronicidad en Atención Primaria y Comunitaria. A1 Minué-Lorenzo, Sergio A1 Fernández-Aguilar, Carmen K1 Atención Primaria K1 Chronic care K1 Chronic care Model K1 Cronicidad K1 Diagnosis K1 Diagnóstico K1 Disease K1 Enfermedad K1 Modelos de atención a crónicos K1 Primary care AB The detailed analysis of the chronic care plans developed by the Spanish regional health services show a surprising level of uniformity in their design and deployment, despite differences between these services. The reviews about theoretical models that support it and tools they develop does not provide conclusive evidence to support the chronic care models achieve better results than another alternatives of care. Although the whole Spanish chronic care plans includes assessment proposals no rigorous studies on their effect have been published to date. Given that, on the contrary, there is a strong and repeated evidence that health systems with Primary Care high performance obtains better outcomes, it is necessary to ask about the need to look for alternative models, when the proposed goals could be reached strengthen Primary Care. YR 2017 FD 2017-11-22 LK http://hdl.handle.net/10668/11846 UL http://hdl.handle.net/10668/11846 LA es DS RISalud RD Apr 6, 2025