Inventory and description of disease management programs in Switzerland

Details

Serval ID
serval:BIB_314CB000B9BA
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Inventory and description of disease management programs in Switzerland
Title of the conference
76e Assemblée annuelle de la Société suisse de médecine interne (SGIM/SSMI)
Author(s)
Peytremann Bridevaux Isabelle, Burnand Bernard
Address
Lausanne, Suisse, 21-23 mai 2008
ISBN
1424-3784
Publication state
Published
Issued date
2008
Volume
8
Series
Swiss Medical Forum = Forum Médical Suisse
Pages
3S
Language
english
Abstract
Background: Disease management, a system of coordinated health care interventions for populations with chronic diseases in which patient self-care is a key aspect, has been shown to be effective for several conditions. Little is known on the supply of disease management programs in Switzerland.
Objectives: To systematically search, record and evaluate data on existing disease management programs in Switzerland.
Methods: Programs met our operational definition of disease management if their interventions targeted a chronic disease, included a multidisciplinary team and lasted at least 6 months. To find existing programs, we searched Swiss official websites, Swiss web-pages using Google, medical electronic database (Medline), and checked references from selected documents. We also contacted personally known individuals, those identified as possibly working in the field, individuals working in major Swiss health insurance companies and people recommended by previously contacted persons (snow ball strategy). We developed an extraction grid and collected information pertaining to the following 8 domains: patient population, intervention recipient, intervention content, delivery personnel, method of communication, intensity and complexity, environment and clinical outcomes (measures?).
Results: We identified 8 programs fulfilling our operational definition of disease management. Programs targeted patients with diabetes, hypertension, heart failure, obesity, alcohol dependence, psychiatric disorders or breast cancer, and were mainly directed towards patients. The interventions were multifaceted and included education in almost all cases. Half of the programs included regularly scheduled follow-up, by phone in 3 instances. Healthcare professionals involved were physicians, nurses, case managers, social workers, psychologists and dietitians. None fulfilled the 6 criteria established by the Disease Management Association of America.
Conclusions: Our study shows that disease management programs, in a country with universal health insurance coverage and little incentive to develop new healthcare strategies, are scarce, although we may have missed existing programs. Nonetheless, those already implemented are very interesting and rather comprehensive. Appropriate evaluation of these programs should be performed in order to build upon them and try to design a generic disease management framework suited to the Swiss healthcare system.
Keywords
Disease Management, Research, Switzerland
Create date
03/03/2009 11:34
Last modification date
20/08/2019 14:16
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