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Annals of Family Medicine 5:257-260 (2007)
© 2007 Annals of Family Medicine, Inc.
doi: 10.1370/afm.649
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Essay

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

John P. Geyman, MD

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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TRACK Comments:

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Support patients, not administrators
Don R. McCanne, M.D.
Annals of Family Medicine, 5 Jun 2007 [Full text]
Alignment of Disease Management, Chronic Care Model
William C. Popik, MD, FAAFP, et al.
Annals of Family Medicine, 5 Jun 2007 [Full text]
Disease Management: Like All Health Delivery Evolutionary Change, Disease Management Represents Neither Panacea Nor False Hope, But Real Progress
Gordon Norman
Annals of Family Medicine, 8 Jun 2007 [Full text]
Claim that DM saves money is an example of faith-based health policy
Kip Sullivan
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Disease Management in Vermont
Deborah A. Richter
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