Abstract: A method and system for monitoring, evaluating, and improving effectiveness and efficiency for treating chronic medical conditions of a large patient population. The inventive method and system utilizes computerized patient interview and data analysis modules for assessing a patient's condition and indicating a need for medical attention. Patient interviews are regularly conducted by telephone using computer generated questions and voice recognition methods to enter responses into a database. A series of medical questions are developed and presented to the patient. Their answers are recorded and analyzed with respect to the database. Based upon the answers and the analysis thereof, a medical action plan is developed, care instructions provided, and an appointment with a doctor scheduled.