The Role of Disease Management in Diabetes Care

Diabetes Disease Management in a Home Care Setting

“…A significant number of individuals fail to achieve the recommended glycosylated A1C, blood pressure, and cholesterol levels. 11,23 Disease management programs may be a method to assist individuals in achieving these goals. Health plans, employers, private companies, and community-based clinics are sources of disease management programs.…”

“…24 Due to the variability in disease management programs, comparisons have been difficult. 23 In an attempt to standardize disease management programs, the Care Continuum Alliance (CAA) developed a definition and core components. "Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant."…”

“…Health plans, employers, private companies, and community-based clinics are sources of disease management programs. 23 Home health care is another source of disease management programs. 24 Three advantages of using home health care disease management programs are as follows: difficulties in self-care can be directly evaluated; noncompliance issues can be better understood and treated in the context of the patient’s situation; and the impact of self-management can be directly measured.…”

“…The demand for disease management will increase as the population ages, with a concomitant increase in chronic illnesses such as diabetes, congestive heart failure, pulmonary diseases, and depression. 26 Benson 23 recommends research to determine disease management long-term effects and individual components essential to disease management success. Hospitals are not positioned to adequately deal with the care management needs of the chronically ill. 26 Instead, disease management programs were designed to meet the needs of these chronically ill patients.…”

Does disease management for diabetic nephropathy reduce medical expenditure? Evidence from a three-period difference-in-differences analysis

“…Diabetes is a major public health concern and is responsible for a huge social cost in both developed [1,2] and low-income countries [3]. Disease management for diabetes (DMD) has long been thought to be effective in preventing disease-related complications and to subsequently lead to cost savings [4][5][6][7], although the results of existing studies have been mixed because of poor design of interventional programs, small sample sizes, and relatively short evaluation periods to detect changes in disease prognosis [8]. Recently, the systematic introduction of a disease management program in the public health insurance scheme in Germany has shown improvements in the process of care, whereas mixed results have been reported in terms of the impact on health outcomes [9,10].…”