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Disease management: from sand table exercise to local achievement.
1Imperial College, University of London, UK.
Summary
A UK pilot project implemented disease management for gastric illness, involving early secondary care intervention and continuous patient programs. This initiative aimed to improve patient care through coordinated investment in facilities and staff.
Area of Science:
- Healthcare Management
- Public Health Initiatives
- Clinical Pathway Development
Background:
- Disease management programs have been explored nationally.
- The Ollerton alliance involved a purchaser, acute trust, and general practice.
- Integrating secondary care earlier in the patient journey was identified as a key area for improvement.
Purpose of the Study:
- To outline a local pilot project for disease management in Ollerton, UK.
- To explore the application of secondary care expertise earlier in disease processes.
- To establish a more continuous care program for patients.
Main Methods:
- A collaborative alliance was formed between a purchaser, acute trust, and general practice.
- Secondary care expertise was utilized for early patient identification and intervention.
- The pilot focused initially on gastric illness, including H. pylori eradication.
- Planned extensions include glaucoma and epilepsy management.
Main Results:
- The project facilitated earlier intervention by secondary care specialists.
- A continuous care program was initiated for patients with gastric illness.
- Coordinated investments were made in infrastructure, staff development, and record systems.
Conclusions:
- Local pilot projects can effectively implement disease management strategies.
- Early integration of secondary care enhances patient management pathways.
- Coordinated investment is crucial for successful disease management program implementation.