Disease-management programs can improve quality of care for the chronically ill, even in a weak primary care system: A case study from Germany
posted by Research Admin on 4 November 2011
In Germany, following a 2002 reform, physician-based and patient-centered disease-management programmes were implemented in a nationwide rollout. These programmes are characterised by information technology support, the central role of a designated doctor in ambulatory care, a patient-centered approach that encourages patient self-management, quality assurance (including reminders and benchmarking), and financial incentives for physicians, patients, and sickness funds. Results of a four-year follow-up show that despite the programmes’ implementation in a weak primary care system, quality of care and patient satisfaction have improved while hospitalisation rates, duration of hospital stay, patient mortality, and drug costs have been significantly lowered. In some areas up to 90 percent of all eligible patients are enrolled, thereby giving the programmes a broadly representative base.
Stock, S., et al. (2011). Disease-management programs can improve quality of care for the chronically ill, even in a weak primary care system: A case study from Germany. The Commonwealth Fund, 24.
To read the full abstract, and for access to a free full text version of the article, go to: http://www.commonwealthfund.org/Publications/Issue-Briefs/2011/Nov/Disease-Management-Programs-Improve-Quality-of-Care.aspx