Can A Disease Self-Management Program Reduce Health Care Costs?

Wheeler, John R. C.

doi:10.1097/01.mlr.0000065128.72148.d7

Cited by 82 publications

(63 citation statements)

References 19 publications

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“…They seek to develop patients' quality of life and skills to work in partnership with health professionals (Department of Health, 2001;Wilson, 2001). In principle, expert patients should make less and better use of health professionals' time, have less severe symptoms, more confi dence, resourcefulness and self-effi cacy (Tattersall, 2002;Wheeler, 2003;Shaw and Baker, 2004;Lindsay et al, 2007). An 'expert patient' agenda is based on patients having quality information, good knowledge-processing skills and appropriate social networks.…”

Section: Introductionmentioning

confidence: 99%

Enabling healthy choices: is ICT the highway to health improvement?

et al. 2008

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a b s t r a c t The White Paper Choosing health acknowledges that there is no lack of information in the system about healthy lifestyles, but the manner of communication of risk and the level of support for lifestyle change need improvement. Action also has to be taken to address inequalities in health and to focus on securing better access to healthier choices for people in disadvantaged groups or areas. Accordingly, this randomized controlled trial examined whether access to a purpose-built health portal for heart disease could enable patients to manage better their heart conditions. We recruited 108 men and women aged 50-74 from coronary heart disease registries from a deprived area of Greater Manchester. Every participant received a new computer and one-year broadband subscription; however, only the experimental group received access to the Hearts of Salford health portal. Our results indicate that the experimental group changed their diet significantly. Specifi cally, they reported eating 'bad foods' (such as chips, sweets, crisps, fried foods, ready meals and cakes/biscuits) signifi cantly less often compared to the controls.

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Section: Introductionmentioning

confidence: 99%

Enabling healthy choices: is ICT the highway to health improvement?

et al. 2008

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“…7 Gaps in coordination among these providers and settings may lead to poor health outcomes and increased hospitalizations and associated health care expenditures. [8][9][10] The need to improve care coordination in the Medicare population is reflected in the recent decision by the Centers for Medicare & Medicaid Services (CMS) to reimburse primary care providers for between-visit services required to coordinate care for patients with Z2 chronic conditions. 11 Likewise, the Affordable Care Act includes several provisions to accelerate efforts to coordinate care for individuals with multiple chronic conditions through practice models such as accountable care organizations and patient-centered medical homes.…”

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confidence: 99%

Racial/Ethnic Disparities in Medicare Beneficiaries’ Care Coordination Experiences

et al. 2016

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Background: Little is known about racial/ethnic differences in the experience of care coordination. To the extent that they exist, such differences may exacerbate health disparities given the higher prevalence of some chronic conditions among minorities. Objective: To investigate the extent to which racial/ethnic disparities exist in the receipt of coordinated care by Medicare beneficiaries. Subjects: A total of 260,974 beneficiaries who responded to the 2013 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Methods: We fit a series of linear, case-mix adjusted models predicting Medicare CAHPS measures of care coordination from race/ethnicity. Results: Hispanic, black, and Asian/Pacific Islander (API) beneficiaries reported that their personal doctor had medical records and other relevant information about their care significantly less often than did non-Hispanic white beneficiaries (−2 points for Hispanics, −1 point for blacks, and −4 points for APIs on a 100-point scale). These 3 groups also reported significantly greater difficulty getting timely follow-up on test results than non-Hispanic white beneficiaries (−9 points for Hispanics, −1 point for blacks, −5 points for APIs). Hispanic and black beneficiaries reported that help was provided in managing their care significantly less often than did non-Hispanic white beneficiaries (−2 points for Hispanics, −3 points for blacks). API beneficiaries reported that their personal doctor discussed their medications and had up-to-date information on care from specialists significantly less often than did non-Hispanic white beneficiaries (−2 and −4 points, respectively). Discussion: These results suggest a need for efforts to address racial/ethnic disparities in care coordination to help ensure high-quality care for all patients. Public reporting of plan-level performance data by race/ethnicity may also be helpful to Medicare beneficiaries and their advocates.

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“…While direct evidence of cost savings is mixed there is evidence that patient self-management courses can lead to measurable improvements in clinical indicators of disease control for diabetes 229 and CVD. 223 The potential for cost savings from improved disease control in these two areas is likely to be considerable. 230,231 In areas such as arthritis management the scope for savings may be small.…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies, including evidence from the CDSM programme 222 and evaluations of self-care programmes in CVD, 223 and asthma, 224 have suggested that patient self-management programmes are cost saving. However, in their review of the cost-effectiveness of interventions to support self-care, Richardson et al 225 conclude that most are methodologically flawed or limited in scope.…”

Section: Chronic Carementioning

confidence: 99%

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

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Can A Disease Self-Management Program Reduce Health Care Costs?

Abstract: A heart disease self-management program can reduce health care utilization and potentially yield monetary benefits to a health plan.

Cited by 82 publications

References 19 publications

Enabling healthy choices: is ICT the highway to health improvement?

Enabling healthy choices: is ICT the highway to health improvement?

Racial/Ethnic Disparities in Medicare Beneficiaries’ Care Coordination Experiences

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

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