Intended for healthcare professionals

Education And Debate

Managed care: Disease management

BMJ 1997; 315 doi: (Published 05 July 1997) Cite this as: BMJ 1997;315:50
  1. David J Hunter, directora,
  2. Gillian Fairfield, senior registrar in public health medicinea
  1. a Nuffield Institute for Health, University of Leeds, Leeds LS2 9PL
  1. Correspondence to: Professor Hunter


    The disease management approach to patient care seeks to coordinate resources across the healthcare delivery system. The growing interest in evidence based medicine and outcomes, and a commitment to integrated care across the primary, secondary, and community care sectors, all contribute to making disease management an attractive idea. A combination of patient education, provider use of practice guidelines, appropriate consultation, and supplies of drugs and ancillary services all come together in the disease management process. But its effectiveness is largely untested, so evaluation is essential.

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