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Viewing health care as an integrated system
1CareWise, Inc., USA.
Cost & Quality Quarterly Journal : CQ
|May 7, 1998
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.
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.