Abstract
The critical role of the patient and family caregivers in disease management is often overlooked or undervalued. Self-management of symptoms, lifestyle, behaviour and adherence to provider recommendations in general often make the difference between success and failure of disease management, particularly with chronic conditions. Since such management requires continuing and consistent behaviours, success in achieving self management is enhanced when 2 steps are added to traditional education, i.e. counselling and support efforts. By tracking the impact that patients’ self management has on their own quality of life, sponsors of disease management initiatives can identify the ways in which patients themselves benefit, in addition to how sponsors benefit. In addition, by reminding patients of what they have gained in terms of quality of life, sponsors can reinforce patient adherence and thereby the continuing success of their initiatives. Only by enlisting the cooperation of patients, and by fully recognising the impact their cooperation has on their own lives, can sponsors achieve the full potential of disease management.
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References
MacStravic S, Montrose G. Disease management. In: Managing health care demand. Gaithersburg (MD): Aspen Publishers, 1998: 478–507
Outpatient mastectomies on the rise. Business Health 1997 Jun 6: 15
Church G. Backlash against HMOs. Time 1997 Apr 14: 31-6
Rosenblatt R. ‘No’ to drive through surgery. Denver Post 1997 Mar 7: 2A
Alternative treatment of heart disease pays dividends [advertising supplement]. INC 1996 Aug 11; 18
Buser M. Pre-established care guides patients to recovery. Calif Hosp 1993; 7(4): 10–2
Mazzuca S. Economic evaluation of arthritis patient education. Bull Rheum Dis 1994; 43(5): 6–8
Kennedy M. A tool for patient education. Health Data Manage 1996; 4(2): 61–5
Demand management holds key to prepaid profits. Capitation Manage Rep 1995; 2 (3): 33-7
Asthma program slashes hospitalization costs. Dis State Manage 1995; 1 (3): 31-3
Anderson D. A conceptual revolution in diabetes care [special report]. Bus Health 1996 Jan; 14(1 Suppl. A): 14–7
Morgan A. Evaluating the economic impact of member attitudes on managed care disease management programs. Dis Manage 1998 Sep/Oct; 1(5): 247–54
MacStravic S. The disease management dilemma. Health Care Strateg Manage 1996 June; 14(6): 18–9
Frye R. Self-management education is the key to helping Medicaid patients with diabetes. Health Care Strateg Manage 1997 Nov; 15(11): 16–7
Lewis A. Outsourcing: disease management’s magic bullet. Dis Manage Health Outcomes 1998 Jan; 3(1): 23–34
Todd W, Ladon E. Disease management: maximizing treatment adherence and self-management. Dis Manage Health Outcomes 1998 Jan; 3(1): 1–10
Goedert J. Tufts puts its data to good use. Health Data Manage 1998 July; 6(7): 44–6
The Cleveland Clinic Foundation: a commitment to strong relationships. Healthcare Strategy Alert 1998 Jan; 7-8
Baker S. Managing patient expectations. San Francisco (CA): Jossey-Bass, 1998: 251
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MacStravic, S. Optimising the Patients’s Role. Dis-Manage-Health-Outcomes 6, 1–7 (1999). https://doi.org/10.2165/00115677-199906010-00001
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DOI: https://doi.org/10.2165/00115677-199906010-00001