Check out this ad from the Partnership to Fight Chronic Disease, featuring famous women using their considerable star power to remind the rest of us to pay close attention to the candidates’ positions on addressing chronic disease.
Well done, but the DMCB wonders if stars who are known to have actually battled some key chronic illnesses would have taken a good commercial and made if better: Mary Tyler Moore (diabetes mellitus), Elizabeth Taylor (chronic heart failure), Lindsay Lohan (asthma), Cloris Leachman (high blood pressure), Patty Duke (coronary artery disease) and Sally Field (osteoporosis), for example. Still, any excuse to include the still remarkable Ms. Bacall in a commercial is fine by the DMCB.
The DMCB suspects the money saving potential of disease management is greatest when there is high baseline utilization and considerable variation. It wonders if Harlem is an area with relatively blunted access to health care, lessening the opportunity to reduce claims expense.
The cost of the nursing intervention was $158 per year, which is far less than charged in typical commercial disease management programs. The DMCB wonders if the authors (and the patients) got what they paid for.
There is little detail on just what the nurses ‘did’ in the course of their follow-up. The DMCB is not sure if the coaching was culturally appropriate, made use of state-of-art principles of patient engagement or if the phone call follow-up was intense enough.
Yes, this is the prestigious Annals but other studies on the topic of CHF have indicated that savings are possible.
‘Who is Marcus Welby?’ I was asked by both. Disappointed by this reminder of the DMCB’s age and that neither were regularly reading this blog, it reached into its bag of vulgar popular culture and asked if they were familiar with the TV character ‘House.’ Both immediately recognized the misanthropic doctor, so I explained the medical home as ‘anti-House on niceness steroids.’ I think they got it.
The DMCB believes the term 'medical home' is something that only its fellow 'internists' could have agreed to.