Are we measuring what matters in health technology assessment of disease management? Systematic literature review

Lotte Maria Gertruda Steuten, Bert Vrijhoef, Hans Severens, Frits van Merode, Cor Spreeuwenberg

Research output: Contribution to journalArticleAcademic

21 Citations (Scopus)

Abstract

Objectives: An overview was produced of indicators currently used to assess disease management programs and, based on these findings, provide a framework regarding sets of indicators that should be used when taking the aims and types of disease management programs into account. Methods: A systematic literature review was performed. Results: Thirty-six studies met the inclusion criteria. It appeared that a link between aims of disease management and evaluated structure, process, as well as outcome indicators does not exist in a substantial part of published studies on disease management of diabetes and asthma/chronic obstructive pulmonary disease, especially when efficiency of care is concerned. Furthermore, structure indicators are largely missing from the evaluations, although these are of major importance for the interpretation of outcomes for purposes of decision-making. Efficiency of disease management is mainly evaluated by means of process indicators; the use of outcome indicators is less common. Within a framework, structure, process, and outcome indicators for effectiveness and efficiency are recommended for each type of disease management program. Conclusions: The link between aims of disease management and evaluated structure, process, and outcome indicators does not exist in a substantial part of published studies on disease management. The added value of this study mainly lies in the development of a framework to guide the choice of indicators for health technology assessment of disease management
Original languageUndefined
Pages (from-to)47-57
JournalInternational journal of technology assessment in health care
Volume22
Issue number1
DOIs
Publication statusPublished - 2006

Keywords

  • Disease management
  • Program Evaluation
  • Decision Making
  • IR-78181
  • Review

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