Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports.

ABSTRACT: OBJECTIVE:To systematically evaluate the published evidence regarding the characteristics and effectiveness of disease management programmes. DESIGN:Meta-analysis. DATA SOURCES:Computerised databases for English language articles during 1987-2001. STUDY SELECTION:102 articles evaluating 118 disease management programmes. MAIN OUTCOME MEASURES:Pooled effect sizes calculated with a random effects model. RESULTS:Patient education was the most commonly used intervention (92/118 programmes), followed by education of healthcare providers (47/118) and provider feedback (32/118). Most programmes (70/118) used more than one intervention. Provider education, feedback, and reminders were associated with significant improvements in provider adherence to guidelines (effect sizes (95% confidence interva

SUBMITTER: Weingarten SR 

PROVIDER: S-EPMC130055 | biostudies-literature | 2002 Oct

REPOSITORIES: biostudies-literature