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Published on: January 20, 2019
The disease management approach to cost containment
1Superior Consultant Company, Inc., Southfield, MI 48075, USA.
Summary
Disease management, evolving from epidemic control to public health strategies, now targets chronic conditions. Hospitals implement these programs to reduce readmissions and manage patient populations effectively.
Area of Science:
- Public Health
- Healthcare Management
Background:
- Disease management historically focused on infectious epidemics.
- 20th-century public health applied disease management to high-risk populations.
- Current trends extend population-based disease management to noninfectious diseases.
Purpose of the Study:
- To describe the evolution and current application of disease management principles.
- To highlight the shift towards managing chronic, noninfectious conditions.
- To explain hospital initiatives in post-hospital disease management programs.
Main Methods:
- Review of historical public health strategies.
- Analysis of current hospital-based disease management program implementation.
- Identification of drivers for hospital investment in disease management.
Main Results:
- Disease management has expanded from infectious disease control to encompass chronic conditions.
- Hospitals are increasingly offering post-hospital programs for chronic diseases like heart failure, asthma, and cancer.
- Hospitals invest in these programs for financial, strategic, or competitive reasons, despite potential revenue reduction.
Conclusions:
- Disease management principles are now integral to managing chronic noninfectious diseases.
- Hospital case managers play a key role in referring patients to disease management programs.
- The strategic implementation of disease management impacts hospital operations and patient care.
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