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From outcomes research to disease management: a guide for the perplexed
1Merck-Medco Managed Care, Montvale, NJ 07645, USA.
Annals of Internal Medicine
|May 1, 1996
Summary
Outcomes research, integrating various health disciplines, focuses on measuring results to improve care and control costs. This involves systematic, population-based disease management programs supported by modern information systems.
Area of Science:
- Outcomes research
- Health services research
- Health economics
- Psychometrics
- Epidemiology
Background:
- Measurement of clinical and other outcomes is increasingly vital for healthcare stakeholders.
- A changing healthcare environment necessitates improved outcomes and cost control.
- This has increased interest in cost-effectiveness studies.
Purpose of the Study:
- To highlight the importance of outcomes research in healthcare.
- To explain the shift towards systematic, population-based disease management.
- To emphasize the role of information systems in modern healthcare initiatives.
Main Methods:
- Incorporating epidemiology, health services research, health economics, and psychometrics.
- Applying outcomes principles to healthcare provider practices.
- Implementing systematic, population-based approaches for disease management.
- Utilizing modern information systems for intervention and outcome measurement.
Main Results:
- Disease management programs are evolving from physician-centric to systematic, population-based approaches.
- Effective therapies are being evaluated for their performance in usual practice settings and associated costs.
- Modern information systems are crucial for identifying at-risk individuals and measuring outcomes.
Conclusions:
- Outcomes research is essential for improving healthcare quality and efficiency.
- Systematic, population-based disease management offers a structured approach to patient care.
- Information technology is a key enabler for successful outcomes-focused healthcare initiatives.
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