Disease management

Patrick Kearns, MD, FACP
Studies comparing team care of diabetes with traditional care should be redesigned, say researchers. “In order for redesign studies to support generalization of their findings, methodology should include a randomized, controlled study design with intention-to-treat analysis,” the study states.

More aggressive treatment of blood pressure in patients with proteinuric renal disease may be one explanation for the number of new cases of ESRD leveling off. Meanwhile, though, the number of Americans with chronic kidney disease is expected to jump to 16.7% by 2030, or about 38 million people.

When Kaiser Permanente Northern California rolled out a new electronic health record (EHR) system for outpatients a few years back, a team of researchers considered it a golden opportunity to evaluate how such systems affect care and outcomes. The staggered implementation of the EHR system at 17 KP-owned…
Al Lewis
Everything in life has an “80–20” rule. Example: 20 percent of the population accounts for more than 80 percent of income; 80 percent of a ball club’s salary goes to 20 percent of its players, and so forth. The 80–20 rule is everywhere. In population health spending, the 80–20 rule is that…
Carol Milano
Its costs exceed $177 billion annually. It results in 125,000 deaths, nationwide. Nonadherence to medication is so prevalent that about half of the 3.2 billion prescriptions issued in the United States are not taken as directed. To encourage compliance, Medco Health Solutions tried an innovative approach.…

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