The Use and Evaluations of IT in Chronic Disease Management

The Use and Evaluations of IT in Chronic Disease Management

Julia Adler-Milstein (Harvard University, USA) and Ariel Linden (Linden Consulting Group and Oregon Health and Science University, USA)
DOI: 10.4018/978-1-60960-561-2.ch406
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This chapter describes the broad array of information technologies currently used in programs that manage individuals with chronic diseases and discusses evaluation strategies to assess the impact of implementing programs that incorporate such technologies. More specifically, it describes the three components of a chronic disease management program and then details the technologies commonly used in each component. Three evaluation designs well-suited to measure DM program effectiveness are also discussed. The intent of this chapter is to educate readers on the range of approaches to incorporating information technology into chronic disease management and the most appropriate evaluation designs that will strengthen the understanding of which approaches are most successful.
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Chronic Disease Mangement And Information Technology

As the burden of chronic disease escalates, it has become clear that health care systems designed to deliver acute care do not meet the needs of the chronically ill population (McGlynn et al., 2003). Chronic conditions require ongoing, multi-disciplinary care that includes more frequent patient contact to assess changes in clinical status. Chronic conditions also require unique forms of care, such as patient education on self-management. In addition, assessments take place at both the patient level to inform the management of individual cases, and at the population level to identify trends that should be addressed systematically. These three characteristics create substantial opportunity for information technology (IT) to improve the efficiency and effectiveness of chronic disease management efforts.

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