Disease Management in Chronic Medical Conditions and its Relevance to Inflammatory Bowel Disease

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The major reason behind the need for implementing disease management (DM) is the varitation in physician practice. DM involves medical decision making driven by data, and consists of identification of the patient group, interventionaccording to best practice guidelines, education to lessen physician variability and to improve patient compliance and ameasurement of outcomes to ensure that the result is beneficial. Proper implementation of this evidence-based approach has been difficult and slow, especially in the care of patientswith IBD where insufficient data are available to allow predictive stratification of patients or selection of managementoptions for both acute and maintenance phases of the diseases. Another reason that implementation of DM is difficult is that the concept of DM was in part based on business models,but health is not the same as money, as it is neither stable, nor can it be traded across time or individuals. Yet another reason why DM programs have been under-utilized is that the cost benefits of intervention programs areincompletely estimated, in part because the value assigned to quality of life varies so much between individuals.

Original languageEnglish
Title of host publicationInflammatory Bowel Disease
Subtitle of host publicationTranslating basic science into clinical practice
PublisherWiley Blackwell
Number of pages20
ISBN (Print)9781405157254
StatePublished - May 18 2010


  • Decision-making in disease management - needing accepted guidelines
  • Disease management in chronic medical conditions - relevance to IBD
  • Economic evaluations - important driver to development of disease management
  • Evidence for disease management programs in IBD
  • Issues with economic analysis of disease management programs
  • Management solution - necessity for healthcare
  • Originally proposed disease management solution


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