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Health Management Guide. Disease management.
S Harrison1, D Hunter, G Fairfield
1Nuffield Institute for Health, UK.
The Health Service Journal
|December 9, 1995
Summary
Disease management offers integrated care coordination across healthcare settings, aiming to improve quality and patient satisfaction while reducing costs. Its effectiveness in UK healthcare requires further testing and practical implementation guidance.
Area of Science:
- Healthcare Management
- Public Health Policy
- Health Services Research
Background:
- Disease management is an integrated approach to patient care and reimbursement, focusing on the natural disease progression.
- It necessitates combining research evidence, best practices, and inter-professional collaboration for seamless care.
- The ideal is continuity of care across primary, secondary, and tertiary settings, with structured coordination over time.
Purpose of the Study:
- To demystify disease management and contextualize it within existing healthcare knowledge and practice.
- To differentiate between various applications of disease management as a concept, not a specific technique.
- To provide practical implementation guidance and report on its adoption by NHS organizations.
Main Methods:
- Conceptual analysis of disease management as a healthcare strategy.
- Review of existing evidence and best practices in integrated care.
- Case study reporting on NHS organizational implementation of disease management programs.
Main Results:
- Disease management promises reduced healthcare costs and improved patient outcomes and satisfaction.
- The concept's effectiveness in enhancing UK healthcare remains largely unproven and open to interpretation.
- NHS organizations are actively exploring and implementing disease management strategies.
Conclusions:
- Disease management is a valuable concept for improving healthcare delivery through integrated, coordinated care.
- Further research and evidence are needed to validate its effectiveness in diverse healthcare systems.
- Practical guidance and real-world examples are crucial for successful implementation and adoption.