Disease Management, Outline Example

I. Introduction

A. Regulatory Background (the regulation for patient safety, treatment options and recommendations of organizations)

B. Issues and Challenges

a. Environmental challenges (the managed care environment and the risk of diseases)

b. Cost effective managed care approach vs. effectiveness (built-in programs and implementation costs)

c. Focus on prevention (research related to the effectiveness of prevention vs. treatment)

II. Importance of Disease Management

A. Patient Outcomes (statistical data, recommendation, examples of treatment approaches, plans and research)

B. Performance Outcomes (how performance is influenced by lower number of diseases and prevention measures)

III. The Managed Care Environment

A. Specifics of Managed Care Environment

a. clinical guidelines (regulations and guidelines, American studies and research)

b. ethical considerations (the ethical aspect of disease prevention and treatment in managed care, Pilnick et al. 2001)

B. Challenges of Managed Care Environment

a. program implementation (Sekhri, 2000)

b. Performance measures and targets

IV. Research Related to Disease Management in Managed Care

A. Research data and studies

B. U.S. specific research data and studies

V. Findings

A. Research findings

B. Risks identified

C. Statistical Data

VI. Discussion

A. Implementation Challenges

B. Frameworks and Recommendations

VII. Implications

A. Financial Implications

B. Policy Implications

VIII. Conclusion

References

American Medical Association. (1995) Ethical issues in managed care. CEJA Report 13 – A-94

Christiansen, B. (2006) Challenges of program implementation in a managed care environment: a case study in measuring medication persistence. J Manag Care Pharm. 

Sekhri, N. (2000) Managed care: the US experience. Bulletin of the World Health Organization, 2000, 7

Pilnick, A., Dingwall, R., Starkey, K. (2001) Disease management: definitions, difficulties and future directions. Policy and Practice. Bulletin of the World Health Organization, 2001, 79 (8)