The goal of health management is to direct the limited
resources available for chronic disease management to patients with the greatest need for improvement. The programs of health management may include collecting health information, conducting a periodic health examination with a general initial medical diagnosis, confirming risk factors and risk assessment, management of risk factors (including education about disease, optimization of evidence-based medications, providing information and support from case
managers, and instilling self-management principles), long term tracking, and follow-up and repetition of the above steps. Health management programs have been successfully implemented for chronic conditions, such as hypertension and diabetes mellitus. However, effective evidence that health management improves COPD care is lacking. Therefore, a model for managing the care of patients with COPD is still needed. The aim of such a model would be to integrate available health-care resources and help the various clinicians involved to agree on a common approach and act in concert. We therefore sought to determine whether a simpler health management program, with a focus on behavioral intervention and rehabilitation training, would improve outcomes in patients with COPD.
The goal of health management is to direct the limitedresources available for chronic disease management to patients with the greatest need for improvement. The programs of health management may include collecting health information, conducting a periodic health examination with a general initial medical diagnosis, confirming risk factors and risk assessment, management of risk factors (including education about disease, optimization of evidence-based medications, providing information and support from casemanagers, and instilling self-management principles), long term tracking, and follow-up and repetition of the above steps. Health management programs have been successfully implemented for chronic conditions, such as hypertension and diabetes mellitus. However, effective evidence that health management improves COPD care is lacking. Therefore, a model for managing the care of patients with COPD is still needed. The aim of such a model would be to integrate available health-care resources and help the various clinicians involved to agree on a common approach and act in concert. We therefore sought to determine whether a simpler health management program, with a focus on behavioral intervention and rehabilitation training, would improve outcomes in patients with COPD.
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