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Disease Management: Panacea, Another False Hope, or Something in Between?

Department of Family Medicine, University of Washington, Seattle, Wash

CORRESPONDING AUTHOR: John P. Geyman, MD 53 Avian Ridge Lane Friday Harbor, WA 98250 jgeyman{at}u.washington.edu

ABSTRACT

Disease management is being promulgated by many policy makers, legislators, and a burgeoning new disease management industry as the next major hope, together with information technology and consumer-directed health care, to bring cost containment to runaway costs of health care. Many expect quality improvement as well. The concept is being aggressively marketed to employers, health plans, and government in the wake of managed care’s failure to contain costs. There is widespread confusion, however, about what disease management is and what impact it will have on patients, physicians, and the health care system itself. In this article I give a current snapshot of disease management by briefly addressing (1) its rationale and growth, (2) its track record concerning costs and quality of care, and (3) its impacts on primary care.

Key Words: Disease management • managed care programs • comprehensive health care • delivery of health care • primary health care

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