Disease State Management Programmes: Approaches and Applications
Mark G. Fuller
Disease state management (DSM) is a new concept in healthcare which is rapidly growing in terms of interest and potential as an effective approach to improving patient outcomes. The term DSM refers to a `systematic population-based approach to identify persons at risk, intervene with specific programmes of care, and measure clinical and other outcomes.' This alternative method for `managing care' is being driven by an increased understanding of best practices coupled with new technologies for changing behaviour and measuring outcomes. The concept of health promotion coupled with a systems approach to healthcare could significantly improve clinical outcomes while reducing costs for many people with chronic diseases. This article describes the experience of one health plan with DSM. In addition, guidelines are presented to assist the reader in evaluating their own organisation's ability and needs regarding disease management.
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