scholarly journals Efficacy and Outcomes of a Novel Telephone-based Gout Disease Management Program

2021 ◽  
Vol 15 (1) ◽  
pp. 51-56
Author(s):  
Abdalhamid Al Harash ◽  
Gina Laginya ◽  
William T. Ayoub
Keyword(s):  
Patient Satisfaction ◽  
Disease Management ◽  
Disease Management Program ◽  
Care Center ◽  
The United States ◽  
Likert Scale ◽  
Management Program ◽  
Cost Of Care ◽  
Urgent Care ◽  
Urgent Care Center

Objective: Gout is the most common inflammatory arthritis in the United States. Despite published guidelines, management remains suboptimal, leading to unnecessary morbidity and increased cost of care. We have designed the gout disease management program (GDMP) to improve outcomes, increase patient satisfaction, and decrease healthcare utilization. Methods: Gout patients were seen at their usual rheumatology clinical visit and offered participation in the GDMP. Data were collected between April 2017 and November 2019. Serum uric acid (SUA) levels were measured at the initial outpatient encounter, at the entrance to GDMP, and every 4 weeks until SUA was at the goal of ≤6 mg/dl. Through telephonic encounters, gout-related recent hospitalizations, and ER or urgent care visits since the last encounter were ascertained. Self-reported gout medication usage and adherence were also determined. Patient satisfaction with GDMP was surveyed using a 5-point Likert scale. Results: A total of 158 patients were enrolled, of which 112 had ≥ 1 telephone encounter and were included in our analyses. During the telephone phase, 79 patients (70%) achieved the SUA goal of ≤6.0 mg/dl. Only 3 patients (2.6%) required hospitalization or visits to an ER or urgent care center due to gout flare, and 98% rated their encounter as a 5 on the 5-point Likert scale. Conclusion: Our telephone-based management program for gout led to improved clinical outcomes as defined by the ACR guidelines, decreased healthcare visits, and had high patient satisfaction. Significance and Innovations: • First telephone-based, rheumatology providers-led study to manage gout • Additional evidence to confirm the feasibility and benefit of telemedicine in common diseases • First study to show excellent patient satisfaction

scholarly journals Efficacy and Outcomes of a Novel Telephone-based Gout Disease Management Program

2020 ◽  
Author(s):  
Abdalhamid Al Harash ◽  
Tarun Sharma ◽  
Gina Laginya ◽  
Mary Chester M Wasko ◽  
William T Ayoub
Keyword(s):  
Patient Satisfaction ◽  
Disease Management ◽  
Disease Management Program ◽  
Care Center ◽  
The United States ◽  
Likert Scale ◽  
Management Program ◽  
Cost Of Care ◽  
Urgent Care ◽  
Urgent Care Center

Abstract Objective: Gout is the most common inflammatory arthritis in the United States. Despite published guidelines, management remains suboptimal, leading to unnecessary morbidity and increased cost of care. We have designed the gout disease management program (GDMP) to improve outcomes, increase patient satisfaction and decrease healthcare utilization.Methods: Gout patients were seen at their usual rheumatology clinical visit and offered participation in the GDMP. Data were collected between April 2017 and May 2019. Serum uric acid (SUA) levels were measured at initial outpatient encounter, at entrance to GDMP and every 4 weeks until SUA was at goal of ≤6 mg/dl. During telephone encounters, gout-related recent hospitalizations and ER or urgent care visits since last encounter were ascertained. Self-reported gout medication usage and adherence were also determined. Patient satisfaction with GDMP was surveyed using a 5-point Likert scale.Results: A total of 158 patients were enrolled, of which 112 had ≥ 1 telephone encounter and were included in our analyses. During the telephone phase, 79 patients (70%) achieved SUA goal of ≤6.0 mg/dl, while90 patients (80%) achieved an acceptable SUA of ≤6.5 mg/dl. Only 3 patients (2.6%) required hospitalization or visits to an ER or urgent care center due to gout flare, and 98% rated their encounter as a 5 on the 5-point Likert scale.Conclusion: Our telephone-based management program for gout led to improved clinical outcomes as defined by the ACR guidelines, decreased healthcare visits, and had high patient satisfaction.

The Effects of a Disease Management Program on Self-Reported Health Behaviors and Health Outcomes: Evidence From the “Florida: A Healthy State (FAHS)” Medicaid Program

2008 ◽  
Vol 36 (3) ◽  
pp. 505-517 ◽  
Author(s):  
Donald E. Morisky ◽  
Gerald F. Kominski ◽  
Abdelmonem A. Afifi ◽  
Jenny B. Kotlerman
Keyword(s):  
Disease Management ◽  
Disease Management Program ◽  
Health Care Cost ◽  
Medication Compliance ◽  
Health Indicators ◽  
The United States ◽  
Management Program ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Healthy State

Premature morbidity and mortality from chronic diseases account for a major proportion of expenditures for health care cost in the United States. The purpose of this study was to measure the effects of a disease management program on physiological and behavioral health indicators for Medicaid patients in Florida. A two-year prospective study of 15,275 patients with one or more chronic illnesses (congestive heart failure, hypertension, diabetes, or asthma) was undertaken. Control of hypertension improved from baseline to Year 1 (adjusted odds ratio = 1.60, p < .05), with maintenance at Year 2. Adjusted cholesterol declined by 6.41 mg/dl from baseline to Year 1 and by 12.41 mg/dl ( p < .01) from baseline to Year 2. Adjusted average medication compliance increased by 0.19 points ( p < .01) in Year 1 and 0.29 points ( p < .01) in Year 2. Patients in the disease management program benefited in terms of controlling hypertension, asthma symptoms, and cholesterol and blood glucose levels.

scholarly journals SATISFACTION LEVEL OF PATIENTS, PHYSICIANS, AND PRIVATE PRIMARY HEALTHCARE CENTER MANAGERS WITH CHRONIC DISEASE MANAGEMENT PROGRAM IN INDONESIA

2017 ◽  
Vol 10 (14) ◽  
pp. 131
Author(s):  
Rano K Sinuraya ◽  
Rizky Abdulah ◽  
Ajeng Diantini ◽  
Auliya A Suwantika
Keyword(s):  
Patient Satisfaction ◽  
Chronic Disease ◽  
Disease Management ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Lack Of Physicians ◽  
Level Satisfaction

Objective:Program PengelolaanPenyakitKronis (PROLANIS) or Chronic Disease Management Program (CDMP) is a healthcare system that was conducted by Healthcare and Social Security Agency in Indonesia to improve patients’ quality of life. The objective of this study was to analyze level satisfaction of patients, physicians, and private Primary Healthcare Centers (PHCs) with this program, focusing on hypertension care.Methods:This study was conducted in 7 private PHCs in Bandung City, Indonesia. A cross sectional study was performed to measure patient satisfaction with PSQ-18 on 143 PROLANIS patients with hypertension. A total number of 8 physicians and 7 private PHC managers were involved in this study. Level satisfaction of physicians and private PHC managers were observed by using in-depth interviews.Results:The results showed that patient satisfaction was estimated to be 68.52±8.54, which could be interpreted that patient satisfy with PROLANIS. In-depth interviews showed that physicians did not satisfy with PROLANIS due to several factors (e.g., unintegrated prescription systems, lack of medicines, uncompleted laboratory facilities, lack of physicians, unintegrated referral services, and lack of collaboration between primary and secondary healthcare system). On the other hand, private PHC managers were quite satisfied with PROLANIS due to its linearity with other activities in private PHCs.Conclusion:Level satisfaction of patients with PROLANIS is quite good, while physicians might not satisfy with this program. In particular, private PHC managers confirmed that they are satisfied with this program

scholarly journals PND73 HIGH PATIENT SATISFACTION WITH AN EMPLOYER-PROVIDED MIGRAINE DISEASE MANAGEMENT PROGRAM

2020 ◽  
Vol 23 ◽  
pp. S272-S273
Author(s):  
L. Schaetz ◽  
P. Pathak ◽  
T. Rimner ◽  
J. Fang ◽  
D. Chandrasekhar ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Disease Management ◽  
Disease Management Program ◽  
Management Program ◽  
High Patient Satisfaction
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