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Disease management programs: barriers and benefits
Racheli Magnezi1, Galit Kaufman, Arnona Ziv
1Public Health and Health Systems Management Program, Department of Management, Bar Ilan University, Ramat Gan, Israel. magnezir@biu.ac.il
The American Journal of Managed Care
|June 4, 2013
Summary
Healthcare administrators see patient-oriented benefits in disease management programs (DMPs), but financial barriers hinder implementation. Highlighting long-term system value may encourage DMP adoption for chronic illness care.
Area of Science:
- Healthcare Management
- Public Health Policy
- Chronic Disease Management
Background:
- Industrialized nations face healthcare challenges like resource limits and rising chronic illness.
- Disease management programs (DMPs) aim to improve self-management and care quality for chronic conditions.
- This study explores administrator perspectives on implementing DMPs in Israel.
Purpose of the Study:
- To survey senior healthcare administrators' opinions on barriers, benefits, and support for DMPs.
- To identify key factors influencing the adoption of DMPs in healthcare systems.
Main Methods:
- A cross-sectional survey design was employed.
- 87 out of 105 (83%) healthcare administrators completed a 21-item questionnaire.
- Respondents included physicians, nurses, administrators, and other healthcare professionals.
Main Results:
- The primary perceived benefit of DMPs was improved quality of care.
- Other noted benefits included enhanced patient contact and treatment compliance.
- Major barriers identified were lack of budget and insufficient financial compensation for increased time.
Conclusions:
- DMP benefits are largely patient-focused, while barriers are perceived as financial and impacting professional autonomy.
- Emphasizing long-term system value and patient outcomes over short-term costs could promote DMP implementation.
- Addressing financial and resource barriers is crucial for successful DMP adoption in managing chronic illnesses.
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