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Viewing health care as an integrated system.

R E Stiles1, S B Trinidad

  • 1CareWise, Inc., USA.

Cost & Quality Quarterly Journal : CQ
|May 7, 1998
PubMed
Summary

Disease management programs effectively reduce healthcare costs by improving patient compliance. Long-term success requires targeting individuals not yet actively managing their conditions for broader healthcare savings.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Public Health

Background:

  • Disease management programs show early success in reducing healthcare expenditures.
  • Current programs often focus on a small segment of the patient population.

Purpose of the Study:

  • To highlight the importance of targeting a broader population within disease management programs.
  • To emphasize the need for incremental interventions to maximize long-term cost reduction.

Main Methods:

  • Analysis of disease management program effectiveness.
  • Identification of population segments not yet in the action stage.
  • Conceptual framework for stage-based interventions.

Main Results:

  • Disease management increases compliance and normalizes healthcare utilization.
  • A significant portion (80%) of the identified population is not yet in the action stage.
  • Incremental interventions are crucial for long-term cost containment.

Conclusions:

  • Disease management is effective in lowering healthcare costs.
  • Expanding program reach to pre-action stages is essential for sustained benefits.
  • A phased approach to intervention is key to fulfilling the promise of disease management.

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