Peer Review of Rough Draft
Running head: DISEASE MANAGEMENT 0
Disease Management
Weltee Wolo
Rasmussen College
Author Note
This paper is being submitted on April 17, 2017, Laura De La Cruz’s
Foundations of Managed Care H310/HSA3109 course
Disease Management
Disease management entails the reduction of costs plus improving the quality of life for the persons suffering from chronic diseases. This is achieved through prevention and minimization of the effects of the conditions through an integrated care. It can be defined as a system of organized medical involvements and communications within a distinct patient populaces with conditioned where implementation of self-care efforts can be applied (Nolte&Osborne, 2013). Disease management empowers persons together with other health care providers so as to manage their conditions and prevent avoidable complications. The chronic diseases and associated complications are identified quite earlier, and more efficiently, hence the development of the diseases is slowed.
Disease management has evolved as a hopeful approach for care improvement for the persons with chronic diseases. The common chronic conditions include; hypertension, diabetes mellitus, asthma, chronic obstructive pulmonary disease, congestive heart failure, and coronary heart disease. Often, persons with chronic diseases end up using more health care services that are not coordinated among the health providers; thus the patients are prone to be subjected to overuse and underuse of medical care as the providers take advantage of the situation (Ahn, et al, 2013). Disease management is a practical and an organized approach directed to a health care delivery that incorporates all persons with chronic illness, includes patient self-management, measures results, supports the provider-patient relationship and plan of care, and evaluates health status regularly. It also enhances the patient care through disease prevention and active meditations by evidence-based procedures and strives to improve the general health and quality of life while lowering the cost of care.
Disease management programs have been established, and they contain many components which make the programs effective. The components include; identification processes of the population, evidence-based practice guidelines, collaborative practice involvement which involve the physicians, psychologists, nurses. Also dieticians and pharmacists, identification of risks and corresponding of interventions to the need, educating patient of self-management, measurement, and evaluation of the processes and results, and trailing and observing the system. The aim of disease management is to encourage the patients to use medications correctly, to comprehend and see the symptoms more carefully and by all possible means change the behavior (Nolte & Osborne, 2013).
Managed care system is an intervention that is well integrated with the disease management. Managed care organizations are in a position to carry out disease management for they have been designed to care that is inclusive and coordinated. They concentrate on health improvement of all patients, utilization of resources efficiently, and they are answerable to the patients, purchase, and regulators who check into the quality of their medical services. The managed care participate in primary health care services such as; nursing home services, ambulatory care, home health care, and patient and healthcare professional education (Duncan, 2014). This involvement offers a greater continuity of patient care especially in the management of the diseases thus ensuring that better health results are achieved. The managed care working through the disease management programs have been successful at improving self-care practices and reduction of use of various medical services such as emergency room visits and hospital admissions. This has led to a decrease in health care expenditures for the patients’ populace with chronic diseases.
References.
Ahn, S., Basu, R., Smith, M. L., Jiang, L., Lorig, K., Whitelaw, N., & Ory, M. G. (2013). The impact of chronic disease self-management programs: healthcare savings through a community-based intervention. BMC Public Health, 13(1), 1141.
Duncan, I. G. (2014). Managing and evaluating healthcare intervention programs.
Nolte, S., & Osborne, R. H. (2013). A systematic review of outcomes of chronic disease self-management interventions. Quality of Life Research, 22(7), 1805-1816.
