Deconstructing Heart Failure Disease Management
Authors: Edward H. Wagner
Journal: Annals of Internal Medicine (2004)

Editorials19 October 2004Deconstructing Heart Failure Disease ManagementEdward H. Wagner, MD, MPHEdward H. Wagner, MD, MPHFrom MacColl Institute for Healthcare Innovation, Group Health Cooperative; Seattle, WA 98101-1448.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-141-8-200410190-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Frustrated by the challenges of containing costs and improving quality, many medical administrators and policymakers are turning to organized programs for patients with major chronic illnesses. These programs, generally labeled disease management, seek to provide more intensive education, monitoring, and support than may be possible in typical medical practice. Disease management nowadays is most often considered to consist of interventions delivered by a commercial entity distinct from the patient's usual source of medical care (1). Often, the programs rely on telephone contact between a distant nurse care manager and patient. Many people think of congestive heart failure (CHF), with its ...References1. Bodenheimer T. Disease management in the American market. BMJ. 2000;320:563-6. [PMID: 10688566] CrossrefMedlineGoogle Scholar2. Kerzner R, Rich MW. Management of heart failure in the elderly. Curr Cardiol Rep. 2003;5:223-8. [PMID: 12691641] CrossrefMedlineGoogle Scholar3. DeBusk RF, Houston Miller N, Parker KM, Bandura A, Chmura Kraemer H, Cher DJ, et al . Care management for low-risk patients with heart failure. A randomized, controlled trial. Ann Intern Med. 2004;141:606-13. LinkGoogle Scholar4. Vinson JM, Rich MW, Sperry JC, Shah AS, McNamara T. Early readmission of elderly patients with congestive heart failure. J Am Geriatr Soc. 1990;38:1290-5. [PMID: 2254567] CrossrefMedlineGoogle Scholar5. Ghali JK, Kadakia S, Cooper R, Ferlinz J. Precipitating factors leading to decompensation of heart failure. 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Wagner, MD, MPH, Center for Health Studies, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448; e-mail, wagner.[email protected]org. 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Part 4: Can Costs Be Controlled While Preserving Quality?Thomas Bodenheimer, MD and Alicia Fernandez, MDHeart Failure Disease Management Programs 19 October 2004Volume 141, Issue 8Page: 644-646KeywordsCongestive heart failureHealth careHeart diseasesHeart failureHospitalizationsLongitudinal studiesNursesPatientsQuality of lifeRandomized trials ePublished: 19 October 2004 Issue Published: 19 October 2004 CopyrightCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...