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Related Experiment Videos

Designing a disease management program: how to get started.

E R Gonzalez1, V S Crane

  • 1Medical College of Virginia, Richmond, USA.

Formulary (Cleveland, Ohio)
|May 8, 1995
PubMed
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This summary is machine-generated.

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This guide outlines a 7-step process for effective disease management programs, emphasizing clinical understanding over reimbursement. It details how to improve patient outcomes for chronic diseases by focusing on the disease process and compliance.

Area of Science:

  • Health Services Research
  • Clinical Program Development
  • Healthcare Management

Background:

  • Effective disease management programs require a deep understanding of a disease's natural progression and economic impact.
  • Current practices may prioritize reimbursement over clinical best practices, potentially hindering optimal patient outcomes.
  • Focusing on prevalent and high-cost chronic diseases is crucial for resource allocation in disease management.

Purpose of the Study:

  • To present a structured 7-step process for designing and implementing successful disease management programs.
  • To guide clinicians in basing diagnostic and treatment decisions on disease processes rather than financial considerations.
  • To explore the evolving role of the Pharmacy and Therapeutics (P & T) Committee within disease management initiatives.

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Main Methods:

  • A 7-step framework for disease management program development is described.
  • Key principles include understanding disease natural history and cost drivers.
  • Emphasis is placed on clinical decision-making, patient education, and compliance reinforcement.

Main Results:

  • The proposed 7-step process provides a roadmap for creating robust disease management programs.
  • Integrating clinical understanding and patient compliance is shown to improve treatment outcomes.
  • The article highlights the necessity of adapting P & T Committee functions for modern disease management.

Conclusions:

  • Successful disease management hinges on a clinical, patient-centered approach, prioritizing disease processes and compliance.
  • The 7-step model offers a practical strategy for clinicians and healthcare organizations.
  • The evolving role of the P & T Committee is integral to the success of contemporary disease management programs.