Disease management is a multidisciplinary approach aimed at improving the quality of
patient care and recovery outcomes. It is commonly implemented in the care of
patients with chronic diseases such as cardiovascular diseases, hypertension,
chronic obstructive pulmonary diseases, diabetes, and asthma. This also
involves interventions which are both directed at the healthcare providers and
patients.
Already high costs of healthcare are
continuously increasing by the day. As a result, this puts strains, not only on
individuals, but also on the government and other public agencies. Millions of
people have at least one diagnosed chronic medical condition, and are the ones
who frequently go in and out of the hospital. Re-hospitalization and
re-admissions only double up incurred expenses. The hospitalization cost is even
increased by repeated laboratory and diagnostic examinations, pricey medical
devices, medications, and other services. Also, hospital-acquired infections
and complications contribute to high rates of a hospital-stay. Furthermore,
high re-hospitalization and readmission rates contribute to decreased
productivity in the industry. Thus, it affects the entire economy.
To try to prevent the increasing
costs in healthcare, a software providing disease management has been designed.
It not only aims at improving the quality of patient care and recovery
outcomes, but it also intends to make the patient’s healthcare, more
cost-effective. Through this approach recurrent hospitalizations and disease
exacerbations can be prevented and better managed at home by the patient and/or
caregiver.
This new approach addresses both the
healthcare provider and patients. It involves the patient’s early diagnosis,
treatment, and rehabilitation, and to ensure improved quality of care, the
health care providers must come up with an individualized care management plan.
This can include close monitoring of the patients’ overall health progress, as
well as their adherence to treatment. Consistency should be observed with the
use of monitoring and evaluating guidelines. For rehabilitation, monitoring
should still be continued in the form of post-discharge interventions and also
patient counselling. The most effective method of monitoring the patient in the
post-discharge period is through telephone calls or home visits. Another means
of monitoring is the use of electronic devices for the transmission of patient
data. Information such as the patient’s blood pressure, weight, or glucose
levels can be reported to the health care professionals via the internet.
Through this action plan, the health care provider has a way to identify the
patient’s compliance to prescribed medication and other treatments.
Meanwhile, the patients are also
given a role in their disease management. They need to be educated about their
diagnosis and treatment plan. In this way, they have an idea how to manage
their disease and prevent exacerbations at home. Health teachings for the
patients will cover topics such as medications, treatments, and lifestyle
modifications to improve their health status. Also, informing them further
about their disease condition will enable them to understand more on how to
avoid triggers. As a result, this can lead to better compliance.
Since this care management is a
multidisciplinary approach, it can also involve people from other services to
be a part of the patient’s care. This includes people from the social and
community services. With their help, coordination can be facilitated. The
community also plays a huge part in the prevention of diseases. This is done
through public-health campaigns facilitated by local community health centers.
With all of these updated strategies in place for the patients’ care, their
quality of life can be greatly improved. Recurrent trips to the hospital can be
reduced, as well. Ideally, it should result to lower health care expenditures
and most importantly, enhanced quality of patient care outcomes.
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