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 Vol. 12 No. 4, October 2004
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AAP Grand Rounds 12:49-50 (2004)
© 2004 American Academy of Pediatrics

TELEPHONE CARE

Telephone Care in Chronic Disease Management

Sources: (1) Snyder JW, Malaskovitz J, Griego J, et al. Quality improvement and cost reduction realized by a purchaser through diabetes disease management. Dis Manag. 2003;6:233–241.[Medline] (2) Beck JK, Logan KJ, Hamm RM, et al. Reimbursement for pediatric diabetes intensive case management: a model for chronic diseases? Pediatrics. 2004;113:e47–e50.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

These 2 articles discuss the use of telephone communication as a means of providing comprehensive case management services for diabetic patients via regularly scheduled "care calls" or for acute needs. Taken together, they highlight the vast possibilities of such an approach to simultaneously increase the quality and reduce the cost of care.

The first article, from Southwest Medical Associates, Las Vegas, Nev, and American Healthways, Inc., Nashville, Tenn, describes a disease management program instigated by a health care purchaser for all of their participants with diabetes. All enrolled diabetic patients (age and ethnicity not specified) were classified according to a 4-tier population risk stratification model that determined the frequency and intensity of interventions. The intervention consisted primarily of outbound telephone calls from specially trained nurses, with frequency of calls varying from daily to quarterly based on the risk stratification of the patient. The participants also visited a diabetes management office for individual visits, group visits, . . . [Full Text of this Article]

Allison Kempe, MD, MPH, FAAP
Pediatrics, The Children’s Hospital, Denver, CO