Optimizing disease management in the next 25 years

The concept of disease management will be increasingly applied to the chronic renal disease area in next quarter century. This concept emphasizes the management of the continuum of disease focusing rather than processing on episodes of illness. Primary and secondary disease prevention, avoidance of complications, improvement in health status, evidence-based selection of modalities of care, and rationalization of systems of care will have a profound effect on financing vehicles as well as the involvement of nephrologist and midlevel practitioners as providers of care.