The Effects of a Disease Management Program on Self-Reported Health Behaviors and Health Outcomes: Evidence from the "Florida--A Healthy State (FAHS)" Medicaid Program

Autor/inn/en	Morisky, Donald E.; Kominski, Gerald F.; Afifi, Abdelmonem A.; Kotlerman, Jenny B.
Titel	The Effects of a Disease Management Program on Self-Reported Health Behaviors and Health Outcomes: Evidence from the "Florida--A Healthy State (FAHS)" Medicaid Program
Quelle	In: Health Education & Behavior, 36 (2009) 3, S.505-517 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198107311279
Schlagwörter	Hypertension; Chronic Illness; Health Behavior; Child Health; Patients; Health Education; Diseases; Expenditures; Health Promotion; Preventive Medicine; Symptoms (Individual Disorders); Health Services; Health Insurance; Florida + Suchen Sie Ihr Suchwort? Bluthochdruck; Hypertonie; Chronic disease; Chronische Krankheit; Health behaviour; Gesundheitsverhalten; Patient; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Disease; Krankheit; Ausgaben; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Gesundheitsvorsorge; Psychiatrische Symptomatik; Health service; Gesundheitsdienst; Gesundheitswesen; Krankenversicherung
Abstract	Premature morbidity and mortality from chronic diseases account for a major proportion of expenditures for health care cost in the United States. The purpose of this study was to measure the effects of a disease management program on physiological and behavioral health indicators for Medicaid patients in Florida. A two-year prospective study of 15,275 patients with one or more chronic illnesses (congestive heart failure, hypertension, diabetes, or asthma) was undertaken. Control of hypertension improved from baseline to Year 1 (adjusted odds ratio = 1.60, p less than 0.05), with maintenance at Year 2. Adjusted cholesterol declined by 6.41 mg/dl from baseline to Year 1 and by 12.41 mg/dl (p less than 0.01) from baseline to Year 2. Adjusted average medication compliance increased by 0.19 points (p less than 0.01) in Year 1 and 0.29 points (p less than 0.01) in Year 2. Patients in the disease management program benefited in terms of controlling hypertension, asthma symptoms, and cholesterol and blood glucose levels. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10