Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Whellan, DJ; Cohen, EJ; Matchar, DB; Califf, RM

Published Date

  • July 2002

Published In

Volume / Issue

  • 8 / 7

Start / End Page

  • 633 - 641

PubMed ID

  • 12125803

Pubmed Central ID

  • 12125803

Electronic International Standard Serial Number (EISSN)

  • 1936-2692

International Standard Serial Number (ISSN)

  • 1088-0224

Language

  • eng