The Effectiveness and Efficiency of Disease Management Programs for Patients with Chronic Diseases
- Akinori Hisashige
Objective: Disease management (DM) approach is increasingly advocated as a means of improving effectiveness and efficiency of healthcare for chronic diseases. To evaluate the evidence on effectiveness and efficiency of DM, evidence synthesis was carried out.
Methods: To locate eligible meta-analyses and systematic reviews, we searched Medline, EMBASE, the Cochrane Library, SCI-EXPANDED, SSCI, A&HCI, DARE, HTA and NHS EED from 1995 to 2010. Two reviewers independently extracted data and assessed a study quality.
Results: Twenty-eight meta-analyses and systematic reviews were included for synthesizing evidence. The proportion of articles which observed improvement with a reasonable amount of evidence was the highest at process (69%), followed by health services (63%), QOL (57%), health outcomes (51%), satisfaction (50%), costs (38%) and so on. As to mortality, statistically significant results were observed only in coronary heart disease. Important components in DM, such as a multidisciplinary approach, were identified.
Conclusion: The evidence synthesized shows considerable evidence in the effectiveness and efficiency of DM programs in process, health services, QOL and so on. The question is no longer whether DM programs work, but rather which type or component of DM programs works best and efficiently in the context of each healthcare system or country.
(The data was calculated based on Google Scholar Citations)
Google-based Impact Factor (2021): 0.50
ih-index (December 2021): 59
i10-index (December 2021): 290
RG Journal impact: 1.26
- Academic Journals Database
- BASE (Bielefeld Academic Search Engine)
- CNKI Scholar
- Copyright Clearance Center
- Elektronische Zeitschriftenbibliothek (EZB)
- Excellence in Research for Australia (ERA)
- Genamics JournalSeek
- Google Scholar
- Harvard Library
- Index Copernicus
- Jisc Library Hub Discover
- LIVIVO (ZB MED)
- Norwegian Centre for Research Data (NSD)
- PKP Open Archives Harvester
- Standard Periodical Directory
- Stanford Libraries
- The Keepers Registry
- UCR Library
- UoB Library
- Zeitschriften Daten Bank (ZDB)
- Erica GreyEditorial Assistant