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Disease management programs: program intervention, behavior modification, and dosage effect

机译：疾病管理计划：计划干预，行为改变和剂量效应

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Disease management programs provide highly personalized self-management support to consumers afflicted with chronic illnesses. Program interventions include the provision of health information, ongoing motivation, and support for behavior change, adherence to pharmacotherapy, development of self-efficacy, and the distribution of self-care tools. Interactions between program and patients are structured and repetitive over time. Consumer behavior change can result in measurable improvements in quality and medical cost savings from postponement or avoidance of preventable complications. We evaluated the impact on cost and quality of a comprehensive Diabetes Disease Management Program (DDMP) across ten US urban markets. A staggered implementation allowed for ten pre-post and five pair-wise comparisons. The DDMP demonstrated significant improvements in six diabetes-related quality indicators, lower cost, and a dose-response with greater than 6 months participation. We conclude that a DDMP improves quality of care and reduce overall medical costs.
机译：疾病管理计划为患有慢性病的消费者提供高度个性化的自我管理支持。计划干预措施包括提供健康信息，持续的动机和对行为改变的支持，对药物治疗的依从性，自我效能感的发展以及自我护理工具的分发。随着时间的推移，程序与患者之间的交互是结构化的且重复的。消费者行为的改变可以通过推迟或避免可预防的并发症而在质量和医疗成本节省方面带来可观的改善。我们评估了美国十个城市市场上全面的糖尿病疾病管理计划（DDMP）对成本和质量的影响。交错的实现允许进行十个事前比较和五个成对比较。 DDMP在六个以上与糖尿病相关的质量指标上显示出显着改善，降低了成本，并且参与了超过6个月的剂量反应。我们得出结论，DDMP可以提高护理质量并降低整体医疗成本。

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