Tags

Type your tag names separated by a space and hit enter

Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers.
Am J Manag Care. 2002 Jul; 8(7):633-41.AJ

Abstract

BACKGROUND

Despite the widening use of disease management (DM) programs throughout the country, little is understood about the "state of DM" in healthcare systems and managed care organizations.

OBJECTIVE

To better characterize the range of users of DM in healthcare and to identify critical issues, both present and future, for DM.

STUDY DESIGN

Qualitative survey.

PARTICIPANTS AND METHODS

Forty-seven healthcare systems (n = 22) and managed care organizations (n = 25) were randomly selected. Decision makers were identified and interviewed between January 1, 2000, and March 31, 2000. We limited quantitative analysis to tabulations of suitable responses, without statistical testing. Responses were organized around 3 themes: models for DM, implementation strategies, and measurements of success.

RESULTS

Of 47 decision makers surveyed, 42 (89%) reported that their organizations currently have (75%) or are working to develop (14%) DM programs. Although the goals of DM programs were similar, organizations took a variety of approaches to achieving these ends. There were typically 3 steps in implementing a DM program: analysis of patient data, external analysis, and organizational analysis. Decision makers believed that DM programs had only achieved partial success in reaching the 2 main goals of improved quality of care and cost savings.

CONCLUSIONS

Given the variety of DM programs, there is a need to develop a classification scheme to allow for better comparison between programs. Further quantitative studies of decision makers' opinions would be helpful in developing programs and in designing necessary studies of patient management strategies.

Authors+Show Affiliations

Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA. whell001@mc.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12125803

Citation

Whellan, David J., et al. "Disease Management in Healthcare Organizations: Results of In-depth Interviews With Disease Management Decision Makers." The American Journal of Managed Care, vol. 8, no. 7, 2002, pp. 633-41.
Whellan DJ, Cohen EJ, Matchar DB, et al. Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers. Am J Manag Care. 2002;8(7):633-41.
Whellan, D. J., Cohen, E. J., Matchar, D. B., & Califf, R. M. (2002). Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers. The American Journal of Managed Care, 8(7), 633-41.
Whellan DJ, et al. Disease Management in Healthcare Organizations: Results of In-depth Interviews With Disease Management Decision Makers. Am J Manag Care. 2002;8(7):633-41. PubMed PMID: 12125803.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers. AU - Whellan,David J, AU - Cohen,Elizabeth J, AU - Matchar,David B, AU - Califf,Robert M, PY - 2002/7/20/pubmed PY - 2002/8/3/medline PY - 2002/7/20/entrez SP - 633 EP - 41 JF - The American journal of managed care JO - Am J Manag Care VL - 8 IS - 7 N2 - BACKGROUND: Despite the widening use of disease management (DM) programs throughout the country, little is understood about the "state of DM" in healthcare systems and managed care organizations. OBJECTIVE: To better characterize the range of users of DM in healthcare and to identify critical issues, both present and future, for DM. STUDY DESIGN: Qualitative survey. PARTICIPANTS AND METHODS: Forty-seven healthcare systems (n = 22) and managed care organizations (n = 25) were randomly selected. Decision makers were identified and interviewed between January 1, 2000, and March 31, 2000. We limited quantitative analysis to tabulations of suitable responses, without statistical testing. Responses were organized around 3 themes: models for DM, implementation strategies, and measurements of success. RESULTS: Of 47 decision makers surveyed, 42 (89%) reported that their organizations currently have (75%) or are working to develop (14%) DM programs. Although the goals of DM programs were similar, organizations took a variety of approaches to achieving these ends. There were typically 3 steps in implementing a DM program: analysis of patient data, external analysis, and organizational analysis. Decision makers believed that DM programs had only achieved partial success in reaching the 2 main goals of improved quality of care and cost savings. CONCLUSIONS: Given the variety of DM programs, there is a need to develop a classification scheme to allow for better comparison between programs. Further quantitative studies of decision makers' opinions would be helpful in developing programs and in designing necessary studies of patient management strategies. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/12125803/Disease_management_in_healthcare_organizations:_results_of_in_depth_interviews_with_disease_management_decision_makers_ L2 - https://www.ajmc.com/pubMed.php?pii=248 DB - PRIME DP - Unbound Medicine ER -