| National estimates of enrollment in disease management programs in the United States: an analysis of the National Ambulatory Medical Care Survey data. | |
| | |
MedLine Citation:
|
PMID: 20735245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Disease management (DM) programs have demonstrated improvement in clinical and economic outcomes for patients with chronic conditions; however, the extent of utilization of these programs in the United States is not known. The rate of enrollment in DM programs was estimated using data from the National Ambulatory Medical Care Survey (NAMCS). Logistic regression analysis was used to identify predictors of enrollment in DM programs. The complex sampling design of the NAMCS was accounted in all analyses. The final study sample included 14,405 patient visits and indicated that only 21.3% of patients with at least 1 chronic condition utilize DM programs. Regression analysis demonstrated that patients who visit specialty physicians (excluding internal medicine) are more likely to be enrolled in a DM program than patients who visit general medicine/family practice physicians (P < 0.01). Patients with depression, diabetes, hyperlipidemia, or obesity were significantly more likely to be enrolled in a DM program than patients without these chronic conditions. Enrollment in a DM program was also affected by the total number of chronic conditions--patients with 2-4 chronic conditions were 1.29 times more likely to be enrolled in a DM program than patients with a single chronic condition (P = 0.026). In conclusion, although benefits of DM programs have been documented, their adoption rate remains extremely low. Additional studies are needed to identify other predictors and to tailor interventions to increase the adoption of such programs. |
| | |
Authors:
|
Iftekhar Kalsekar; Samantha Record; Karly Nesnidal; Bruce Hancock |
Related Documents
:
|
18999155 - Validation of an electronic system for recording medical student patient encounters. 2759575 - Developing a unit for mentally retarded-mentally ill patients on the grounds of a state... 12063195 - The anatomy of the professional lapse: bridging the gap between traditional frameworks ... 11013545 - Evidence-based guidelines for teaching patient-centered interviewing. 3965645 - Neural mechanisms of motor program switching in the mollusc pleurobranchaea. i. central... 7727265 - Conventional wisdom is a poor predictor of the relationship between discipline policy, ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Population health management Volume: 13 ISSN: 1942-7905 ISO Abbreviation: Popul Health Manag Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-08-25 Completed Date: 2010-12-02 Revised Date: 2011-03-18 |
Medline Journal Info:
|
Nlm Unique ID: 101481266 Medline TA: Popul Health Manag Country: United States |
Other Details:
|
Languages: eng Pagination: 183-8 Citation Subset: IM |
Affiliation:
|
Department of Pharmacy Practice, College of Pharmacy and Health Sciences, Butler University, Indianapolis, Indiana 46208-3485, USA. ikalseka@butler.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Ambulatory Care* Disease Management* Female Health Care Surveys / statistics & numerical data* Humans Male Middle Aged Regression Analysis United States Young Adult |
| Comments/Corrections | |
Comment In:
|
Popul Health Manag. 2011 Feb;14(1):55
[PMID:
21241186
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is the United States ready to embrace concierge medicine?
Next Document: Pharmacist counseling at the start of therapy: patient receptivity to offers of in-person and subseq...