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  1. The disease management approach to cost containment.

    Article - En anglais

    Disease management has been around a long time, certainly since Pasteur.

    Its initial focus was to eliminate or contain epidemics.

    In the 20th century, American public health scientists and officials have used disease management to address a high-risk, often poor population.

    Currently, the population-based principles of disease management, including disease prevention activities, are being applied to noninfectious diseases.

    Two examples of public health disease prevention strategies are vacdnations and chlorination of water.

    Hospitals are now providing post-hospital disease management programs for selected chronic conditions that account for a high volume of repeat admissions or emergency department visits, such as chronic heart failure, asthma, and cancer.

    In other words, hospitals are spending money on a program that, if done right, will reduce their inpatient revenues.

    They are doing so for various reasons (e.g., because they have established at-risk financial partnerships with their physidans, or possibly because other area hospitals are doing it, or possibly because they want to keep the ancillaries [x-rays, laboratory, pharmacy, ambulatory surgery, etc. ]). Regardless of the reasons, hospital case managers will be charged with referring qualified patients to both hospital-based and provider-based disease management programs.

    Mots-clés Pascal : Soin intégré, Contrôle coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Hôpital, Sortie hôpital, Système santé, Gestion clinique pathologie

    Mots-clés Pascal anglais : Managed care, Cost control, Health economy, United States, North America, America, Hospital, Hospital discharge, Health system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0382380

    Code Inist : 002B30A01B. Création : 25/01/1999.