A definition of disease management has been offered by the Disease Management Association of America - "Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant." Disease
management is gaining momentum in nearly every health care arena. Failure of the health maintenance organization (HMO) business model to contain cost has the healthcare industry scrambling to develop alternative delivery methods.
disease management model utilizes highly skilled teams of nurses who assess patients
over the phone. Unlike telephone
triage, disease management regularly assesses known patient populations for
subtle changes that could affect their overall state of health. It is believed
that the nurse can identify subtle health changes long before the patient
may realize the seriousness. Early identification of changes allows the nurse
to guide self care interventions, avoiding the need for more extensive medical
is implementing disease management for Medicaid recipients who have a diagnosis
of such chronic health care concerns as congestive heart failure, diabetes,
or asthma. Insurers are closely
following these groups of patients as well as other high risk groups of patients
including mental health patients and families with premature infants.
Independent call programs are often contracted to provide these services
for patients, practices, and insurers.
- Buntin, M; Jain, A; Mattke, S; Lurie, N. (2009). Who Gets Disease Management? Journal of General Internal Medicine. Vol. 24, No. 5, May 2009, pp. 649-655
- Goldstein, PC. (2006) Impact of disease management programs on hospital and community nursing practice. Nursing Economics. 2006 Nov-Dec;24(6):308-13, 279;
- Impact of disease management programs on hospital and community nursing practice.
- THE KAISER COMMISSION ON Medicare and the Uninsured. Medicaid Disease Management: Issues and Promises. Publication Number 7170. Accessed online 4/30/09 http://www.kff.org/medicaid/7170.cfm
Geyman, J. (2007) Disease Management: Panacea, Another False Hope, or Something in Between? Annals of Family Medicine 5:257-260 http://www.annfammed.org/cgi/content/full/5/3/257
- Wagner, E; Davis, C; et al. (2002) A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature?. Journal of Nursing Care Quality: January 2002 - Volume 16 - Issue 2 - pp 67-80
Management Association of America http://www.dmaa.org
Management is the outdated way that telephone triage used to be delivered.