An intervention of collaborative case management
did not improve key physiologic outcomes for highrisk
patients with type 2 diabetes. The type of patients targeted
for intervention, organizational factors, and program structure
are likely critical determinants of the effectiveness of case management.
Health systems must understand the potential limitations
before expending substantial resources on case management,
as the expected improvements in outcomes and
downstream cost savings may not always be realized. Am J
Med. 2004;116:732–739. ©2004 by Excerpta Medica Inc.