Lewis Al
Disease Management Purchasing Consortium, Wellesley, Massachusetts 02481, USA.
Popul Health Manag. 2009 Feb;12(1):47-54. doi: 10.1089/pop.2008.0035.
The fastest-growing methodology for disease management outcomes measurement is valid, transparent, easy to apply, and freely available in the public domain and this article. It measures the actual goal of disease management, which is to reduce the rate of adverse events associated with the disease(s) being managed. Changes in this rate can be translated into a return on investment using some explicit assumptions about comorbidities and episode costs. Outcomes measured in this way show that in the health plan community as a whole, disease management in the broadest sense is working, as measured by the relative stability in the rate of adverse medical events closely associated with common chronic disease during this decade of increasing prevalence of most of the common chronic conditions.
疾病管理结果测量中发展最快的方法有效、透明、易于应用，并且在公共领域和本文中均可免费获取。它测量疾病管理的实际目标，即降低与所管理疾病相关的不良事件发生率。利用关于合并症和发作成本的一些明确假设，该发生率的变化可以转化为投资回报率。以这种方式测量的结果表明，在整个健康计划社区中，从最广泛的意义上讲，疾病管理正在发挥作用，这可以通过在这十年中大多数常见慢性病患病率不断上升的情况下，与常见慢性病密切相关的不良医疗事件发生率的相对稳定来衡量。
