 |
|
Chronic Disease Management
Treating the Patient With Disease(s) vs Treating Disease(s) in the Patient
Robert F. DeBusk, MD;
Jeffrey A. West, MD;
Nancy Houston Miller, RN, BSN;
C. Barr Taylor, MD
Arch Intern Med. 1999;159:2739-2742.
The treatment of chronic disease is often complicated by the coexistence of multiple medical conditions and by the presence of social and psychological impediments. The needs posed by patients with chronic disease are overwhelming the capacity of the American health care system. Alternative disease management systems that rely on specially trained nurse case managers to implement detailed clinical protocols, including drug algorithms, have shown efficacy in managing chronic medical conditions, singly and in combination. By fostering integration of care across subspecialty and medical-social boundaries, such systems enable treatment of the patient with disease(s), not simply treatment of disease(s) in the patient. Working closely with primary care physicians, often by telephone-mediated interaction with patients, nurse case managers may take an expanded role in meeting the challenges posed by chronic disease.
|
From the Division of Cardiovascular Medicine (Dr DeBusk and Ms Miller) and the Department of Psychiatry and Behavioral Sciences (Dr Taylor), Stanford University School of Medicine, and the Department of Veterans Affairs Palo Alto Health Care System (Dr West), Palo Alto, Calif.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
A model to evaluate quality and effectiveness of disease management
Lemmens et al.
Qual Saf Health Care 2008;17:447-453.
ABSTRACT
| FULL TEXT
The impact of comorbid chronic conditions on diabetes care.
Piette and Kerr
Diabetes Care 2006;29:725-731.
FULL TEXT
Effectiveness of comprehensive disease management programmes in improving clinical outcomes in heart failure patients. A meta-analysis
Roccaforte et al.
Eur J Heart Fail 2005;7:1133-1144.
ABSTRACT
| FULL TEXT
Report of the National Heart, Lung, and Blood Institute Working Group on Outcomes Research in Cardiovascular Disease
Krumholz et al.
Circulation 2005;111:3158-3166.
ABSTRACT
| FULL TEXT
Care Management for Heart Failure
DeBusk et al.
ANN INTERN MED 2005;142:386-386.
FULL TEXT
Disease Management and the Organization of Physician Practice
Casalino
JAMA 2005;293:485-488.
FULL TEXT
Promoting Health in Type 2 Diabetes: Nurse-Physician Collaboration in Primary Care
Taylor et al.
Biol Res Nurs 2005;6:207-215.
ABSTRACT
|
