REVIEWDoes disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review
Section snippets
Literature review
We reviewed the literature to identify studies of the effectiveness of disease management programs in improving care or reducing costs for patients with a variety of common chronic diseases, defined as conditions affecting at least 1% of the U.S. adult population (7). In collaboration with an expert librarian, we searched the MEDLINE, HEALTHSTAR, and Cochrane databases for English-language articles published between January 1987 and June 2001 using the following Medical Subject Headings:
Results
The search identified 16,917 references published between January 1987 and June 2001. We accepted 2963 titles for further screening and 581 abstracts for the article review stage. Eighty-five percent (n = 493) of accepted abstracts did not meet the inclusion criteria, leaving a pool of 88 articles. Hand searches of bibliographies and expert consultation yielded 51 additional articles, of which 14 were accepted. Overall, 102 studies were accepted and addressed the following conditions: asthma (
Discussion
Our results suggest that many disease management programs are associated with improvements in the quality of patient care. Successful examples included programs focusing on patients with cardiovascular diseases, such as heart failure, coronary artery disease, hyperlipidemia, and hypertension. Overall, improvements in care were greatest for patient satisfaction, patient adherence to treatment recommendations, disease control, and provider adherence to guidelines. Often, there were greater
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2021, Complementary Therapies in MedicineCitation Excerpt :Their global prevalence is increasing and this burden is leading to growing social and economic consequences.2 The quality and effectiveness of disease management is therefore a major concern for improving patient care and reducing health care costs.3 Chronic diseases are generally related to impairments of the autonomous nervous system (ANS) balance resulting in sympathetic overstimulation and a lack of vagal activity.4
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This investigator-initiated work was partially supported by a research grant from TAP Pharmaceutical Products, Inc., Lake Forest, Illinois.