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Disease State Management
Ronald S Hadsall1, Louise J Sargent2
1RONALD S. HADSALL, PH.D., is Director of Graduate Studies, Social and Administrative Pharmacy, University of Minnesota, Minneapolis, Minnesota.
Insights
Healthcare management is shifting from component-based care to disease state management. This approach focuses on patient outcomes to improve access, quality, and reduce costs.
Area of Science:
- Healthcare Management
- Health Services Research
Background:
- Traditional healthcare management focused on isolated components of care.
- There is a growing need for integrated approaches to address complex health issues.
Purpose of the Study:
- To explore the evolution of healthcare management towards disease state management.
- To identify key components and evaluation metrics for successful disease management.
Main Methods:
- Literature review of recent publications.
- Synthesis of authors' practical experiences in healthcare management.
Main Results:
- Disease state management integrates services across all healthcare sectors.
- Effective evaluation requires measuring clinical, physical, and quality-of-life indicators.
- Developing cost-effective protocols is crucial without compromising patient care.
Conclusions:
- Component management is being superseded by patient outcome-focused systems.
- Disease state management offers a superior model for addressing healthcare access, quality, and cost challenges.
Abstract:
OBJECTIVE: To explore how healthcare management has evolved from managing separate components to disease management. DATA SOURCES: Recent published atricles and the authors' experiences. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Disease state management integrates services from all areas of healthcare. To evaluate whether a disease is being treated effectively, clinical, physical, and quality of life, indicators need to be measured. Protocols and intervention strategies need to be developed at minimal cost without compromising patient care. Patient and physician satisfaction need to be evaluated to measure the success of the disease management process. CONCLUSION: The old paradigm of component management of medical care is losing ground and being replaced by systems focused on patient outcomes as the best way to deal with the issues of access, quality, and cost. KEY WORDS: Disease state management, Outcomes, Costs.
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