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PharmacoEconomics & Outcomes News 382 - 28 Sep 2002
Maxims for succeeding in DMSuccess in disease management (DM) hinges not on a
‘single magic formula’, but on a series of truisms, which,‘if recognised and considered by DM program planners’,can greatly assist the successful development andimplementation of DM programmes, says DiseaseManagement News.
Professor of medicine at Thomas Jefferson MedicalCollege, Philadelphia, US, Dr David Nash offers thefollowing seven ‘rules to live by’ when considering DMprogramme design, implementation and management.• Organisations and provider groups bearing risk
must be involved in DM, which becomes moreimportant as more risk is borne.
• Demand management must exist alongside DM.‘Sophisticated disease management firms have thetools to reach out and understand what patientswant’, says Nash.
• Decisions must be based on data and publishedevidence, not on opinion or conjecture.
• Pharmacy benefit management (PBM) companies’power must not be underestimated. ‘We have torecognize the power that resides in . . . PBMs thathave access to and control over the information ontens of millions of prescriptions annually’, notesNash.
• Consumerism, including the Internet, direct-to-consumer advertising and social forces, is thehidden force in DM.
• DM must be multidisciplinary.• Practice guidelines are unlikely to be followed by
physicians, so other methods of influencingphysician behaviour must be established. ‘Physicianbuy-in is critical to succeeding in DM’, says Nash.
Consider these 7 rules to ensure success in DM. Disease Management News 7: 1& 6-7, 25 Aug 2002 800901595
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PharmacoEconomics & Outcomes News 28 Sep 2002 No. 3821173-5503/10/0382-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved