Article    Table of Contents                    Full Text of this article Free  Services    Send comment/rapid response letter    Notify a friend about this article    Alert me when this article is cited    Add to Personal Archive    Download to Citation Manager    ACP Search                            Get Permissions  Google Scholar    Search for Related Content  PubMed Articles in PubMed by Author:    Harris, J. M., Jr.    Related Articles in PubMed    PubMed Citation    PubMed

PERSPECTIVE

Disease Management: New Wine in New Bottles?

John M. Harris Jr., MD, MBA

1 May 1996 | Volume 124 Issue 9 | Pages 838-842

Cost pressures are driving the reorganization of the health care delivery system in the United States, causing health care delivery organizations to become larger and more diversified.These new health care delivery entities are arriving at the same time as a new approach to clinical care: commercial population-based medicine. This approach is sharing an increasing amount of space with the traditional physician-patient-based approach and offers strategies for managing a population's risk, demand, diseases, and outcomes. Although commercial populationbased medicine strategies such as disease management may use many of the same tools as traditional public health approaches, they focus on the relatively short-term health needs of defined populations because of the underlying economic incentives facing payers. Population-based medicine promises better use of resources and a systems approach to health care delivery, but it also presents the pitfalls of subversion by the needs of commercial companies, unanticipated adverse effects, and wide application without adequate preparation.

Author and Article Information

From Medical Directions, Inc., Tucson, Arizona. For the current author address, see end of text.
Current Author Address: Dr. Harris: Medical Directions, Inc., 6400 East Tanque Verde Road, Suite A, Tucson, AZ 85715

This article has been cited by other articles:

				R. Rothman, R. Malone, B. Bryant, C. Horlen, and M. Pignone Pharmacist Led, Primary Care-Based Disease Management Improves Hemoglobin Aic in High-Risk Patients With Diabetes American Journal of Medical Quality, March 1, 2003; 18(2): 51 - 58. [Abstract] [PDF]

				K. E. Flynn, M. A. Smith, and M. K. Davis From Physician to Consumer: The Effectiveness of Strategies to Manage Health Care Utilization Med Care Res Rev, December 1, 2002; 59(4): 455 - 481. [Abstract] [PDF]

				J. Sidorov, R. Shull, J. Tomcavage, S. Girolami, N. Lawton, and R. Harris Does Diabetes Disease Management Save Money and Improve Outcomes? : A report of simultaneous short-term savings and quality improvement associated with a health maintenance organization-sponsored disease management program among patients fulfilling health employer data and information set criteria Diabetes Care, April 1, 2002; 25(4): 684 - 689. [Abstract] [Full Text] [PDF]

				E. H. Morreim Result-Based Compensation in Health Care: A Good, But Limited, Idea J. Law Med. Ethics, June 1, 2001; 29(2): 174 - 181. [PDF]

				E. H. Morreim From the Clinics to the Courts: The Role Evidence Should Play in Litigating Medical Care Journal of Health Politics Policy and Law, April 1, 2001; 26(2): 409 - 428. [PDF]

				E. H. Morreim Result-Based Compensation in Health Care: A Good, But Limited, Idea J. Law Med. Ethics, March 1, 2001; 29(1): 174 - 181. [PDF]

				E. H. Morreim Quality of Life: Erosions and Opportunities Under Managed Care J. Law Med. Ethics, June 1, 2000; 28(2): 144 - 158. [PDF]

				H. Bauchner Evidence-based Medicine: A New Science or an Epidemiologic Fad? Pediatrics, May 1, 1999; 103(5): 1029 - 1031. [Full Text]

				T. Bodenheimer Disease Management -- Promises and Pitfalls N. Engl. J. Med., April 15, 1999; 340(15): 1202 - 1205. [Full Text]

				T. Richards Disease management in Europe BMJ, August 15, 1998; 317(7156): 426 - 427. [Full Text]

				C. J. Homer Asthma Disease Management N. Engl. J. Med., November 13, 1997; 337(20): 1461 - 1463. [Full Text]

				R. B. Elson, J. G. Faughnan, and D. P. Connelly An Industrial Process View of Information Delivery to Support Clinical Decision Making: Implications for Systems Design and Process Measures J. Am. Med. Inform. Assoc., July 1, 1997; 4(4): 266 - 278. [Abstract] [Full Text] [PDF]