{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:27:11Z","timestamp":1777930031521,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2010,8,1]],"date-time":"2010-08-01T00:00:00Z","timestamp":1280620800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Population Health Management"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:p>\n                    Disease management (DM) programs have demonstrated improvement in clinical and economic outcomes for patients with chronic conditions; however, the extent of utilization of these programs in the United States is not known. The rate of enrollment in DM programs was estimated using data from the National Ambulatory Medical Care Survey (NAMCS). Logistic regression analysis was used to identify predictors of enrollment in DM programs. The complex sampling design of the NAMCS was accounted in all analyses. The final study sample included 14,405 patient visits and indicated that only 21.3% of patients with at least 1 chronic condition utilize DM programs. Regression analysis demonstrated that patients who visit specialty physicians (excluding internal medicine) are more likely to be enrolled in a DM program than patients who visit general medicine\/family practice physicians (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u20090.01). Patients with depression, diabetes, hyperlipidemia, or obesity were significantly more likely to be enrolled in a DM program than patients without these chronic conditions. Enrollment in a DM program was also affected by the total number of chronic conditions\u2014patients with 2\u20134 chronic conditions were 1.29 times more likely to be enrolled in a DM program than patients with a single chronic condition (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.026). In conclusion, although benefits of DM programs have been documented, their adoption rate remains extremely low. Additional studies are needed to identify other predictors and to tailor interventions to increase the adoption of such programs. (\n                    <jats:italic toggle=\"yes\">Population Health Management<\/jats:italic>\n                    2010;13:183\u2013188)\n                  <\/jats:p>","DOI":"10.1089\/pop.2009.0056","type":"journal-article","created":{"date-parts":[[2010,8,24]],"date-time":"2010-08-24T14:39:10Z","timestamp":1282660750000},"page":"183-188","source":"Crossref","is-referenced-by-count":4,"title":["National Estimates of Enrollment in Disease Management Programs in the United States: An Analysis of the National Ambulatory Medical Care Survey Data"],"prefix":"10.1177","volume":"13","author":[{"given":"Iftekhar","family":"Kalsekar","sequence":"first","affiliation":[{"name":"Butler University"},{"name":"Currently an employee of Bristol-Myers Squibb, Plainsboro, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Record","sequence":"additional","affiliation":[{"name":"Cincinnati Veterans Affairs Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karly","family":"Nesnidal","sequence":"additional","affiliation":[{"name":"University of Illinois Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Hancock","sequence":"additional","affiliation":[{"name":"Butler University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,8]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Medicare Medicaid Services Office of the Actuary National Health Statistics Group. 2007. National Health Care Expenditures Data. http:\/\/www.cms.hhs.gov\/nationalhealthexpenddata\/01_overview.asp?. 2009 July 17."},{"key":"e_1_3_3_3_2","unstructured":"Centers for Disease Control Prevention (CDC) National Center for Chronic Disease Prevention Health Promotion. Chronic disease overview. http:\/\/www.cdc.gov\/nccdphp\/. 2009 July 17."},{"key":"e_1_3_3_4_2","first-page":"477","article-title":"Chronic disease management\u2014A definition and systematic approach to component interventions","volume":"11","author":"Norris SN","year":"2003","unstructured":"Norris SN, , Glasgow RE, , Engelgau MM, , O'Connor PJ, , McCulloch D. Chronic disease management\u2014A definition and systematic approach to component interventions. Dis Manag Health Outcomes, 2003; 11:477\u2013488.","journal-title":"Dis Manag Health Outcomes"},{"key":"e_1_3_3_5_2","unstructured":"DMAA: The Care Continuum Alliance. Definition of disease management. http:\/\/www.dmaa.org\/dm_definition.asp. 2009 July 15."},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1089\/109350700415078","article-title":"Improvement in diabetes care using an integrated population-based approach in a primary care setting","volume":"3","author":"McCulloch D","year":"2000","unstructured":"McCulloch D, , Price M, , Hindmarsh M et al. Improvement in diabetes care using an integrated population-based approach in a primary care setting. Dis Manag, 2000; 3:75\u201382.","journal-title":"Dis Manag"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1001\/archfami.9.4.345","article-title":"Randomized trial of a depression management program in high utilizers of medical care","volume":"9","author":"Katzelnick D","year":"2000","unstructured":"Katzelnick D, , Simon G, , Pearson S et al. Randomized trial of a depression management program in high utilizers of medical care. Arch Fam Med, 2000; 9:345\u2013351.","journal-title":"Arch Fam Med"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00676-5"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1089\/dis.1998.1.175","article-title":"Improved clinical and financial outcomes associated with a comprehensive congestive heart failure program","volume":"1","author":"Tilney C","year":"1998","unstructured":"Tilney C, , Whiting S, , Horrar J et al. Improved clinical and financial outcomes associated with a comprehensive congestive heart failure program. Dis Manag, 1998; 1:175\u2013183.","journal-title":"Dis Manag"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1001\/archinte.164.15.1641","article-title":"Self management education programs in chronic disease: A systematic review and methodological critique of the literature","volume":"164","author":"Warsi A","year":"2004","unstructured":"Warsi A, , Wang PS, , LaValley MP, , Avorn J, , Solomon DH. Self management education programs in chronic disease: A systematic review and methodological critique of the literature. Arch Intern Med, 2004; 164:1641\u20131649.","journal-title":"Arch Intern Med"},{"key":"e_1_3_3_11_2","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1097\/01.MLR.0000065128.72148.D7","article-title":"Can disease management programs reduce health care costs? The case of older women with heart disease","volume":"41","author":"Wheller JR","year":"2003","unstructured":"Wheller JR. Can disease management programs reduce health care costs? The case of older women with heart disease. Med Care, 2003; 41:706\u2013715.","journal-title":"Med Care"},{"key":"e_1_3_3_12_2","first-page":"633","article-title":"Disease management in health organizations: Results of in-depth interviews with disease management decision makers","volume":"8","author":"Whellan DJ","year":"2002","unstructured":"Whellan DJ, , Cohen EJ, , Matchar DB, , Califf RM. Disease management in health organizations: Results of in-depth interviews with disease management decision makers. Am J Manag Care, 2002; 8:633\u2013641.","journal-title":"Am J Manag Care"},{"key":"e_1_3_3_13_2","first-page":"353","article-title":"Disease management practices of health plans","volume":"8","author":"Welch WP","year":"2002","unstructured":"Welch WP, , Bergsten C, , Cutler C, , Bocchino C, , Smith RI. Disease management practices of health plans. Am J Manag Care, 2002; 8:353\u2013361.","journal-title":"Am J Manag Care"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000214404.95516.81"},{"key":"e_1_3_3_15_2","unstructured":"Centers for Disease Control Prevention (CDC) National Center for Health Statistics. Ambulatory health care data. http:\/\/www.cdc.gov\/nchs\/ahcd.htm. 2009 May 5."},{"key":"e_1_3_3_16_2","unstructured":"The Kaiser Commission on Medicaid the Uninsured. The continuing Medicaid budget challenge: State Medicaid spending growth and cost containment in fiscal years 2004 and 2005. http:\/\/www.kff.org\/medicaid\/7190.cfm. 2009 June 5."},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1001\/jama.282.18.1769","article-title":"Quality management practices in Medicaid managed care: A national survey of Medicaid and commercial health plans participating in the Medicaid program","volume":"282","author":"Landon BE","year":"1999","unstructured":"Landon BE, , Epstein AM. Quality management practices in Medicaid managed care: A national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA, 1999; 282:1769\u20131775.","journal-title":"JAMA"},{"key":"e_1_3_3_18_2","unstructured":"The Kaiser Commission on Medicaid the Uninsured. Medicaid disease management (DM): issues and promises. http:\/\/www.kff.org\/medicaid\/upload\/Medicaid-Disease-Management-Issues-and-Promises-Issue-Paper.pdf. 2009 June 6."},{"key":"e_1_3_3_19_2","unstructured":"Center for Health Care Strategies. The faces of Medicaid: The complexities of caring for people with chronic illnesses and disabilities. http:\/\/www.chcs.org\/usr_doc\/Chartbook.pdf. 2009 June 7."},{"key":"e_1_3_3_20_2","unstructured":"Centers for Medicare Medicaid Services (CMS). Medicaid managed care enrollment report 2006. http:\/\/www.cms.hhs.gov\/MedicaidDataSourcesGenInfo\/downloads\/mmcer06.pdf. 2009 June 8."},{"key":"e_1_3_3_21_2","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.ypmed.2006.07.009","article-title":"Are physicians asking about tobacco use and assisting with cessation? Results from the 2001\u20132004 national ambulatory medical care survey (NAMCS)","volume":"43","author":"Ferketich AK","year":"2006","unstructured":"Ferketich AK, , Khan Y, , Wewers ME. Are physicians asking about tobacco use and assisting with cessation? Results from the 2001\u20132004 national ambulatory medical care survey (NAMCS) Prev Med, 2006; 43:472\u2013476.","journal-title":"Prev Med"},{"key":"e_1_3_3_22_2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/j.1525-1497.2000.03079.x","article-title":"Cardiovascular disease prevention practices by U.S. physicians for patients with diabetes","volume":"15","author":"Meigs JB","year":"2000","unstructured":"Meigs JB, , Stafford RS. Cardiovascular disease prevention practices by U.S. physicians for patients with diabetes. J Gen Intern Med, 2000; 15:220\u2013228.","journal-title":"J Gen Intern Med"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2007.07.016"}],"container-title":["Population Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/pop.2009.0056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pop.2009.0056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pop.2009.0056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:01:11Z","timestamp":1777680071000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/pop.2009.0056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,8]]}},"alternative-id":["10.1089\/pop.2009.0056"],"URL":"https:\/\/doi.org\/10.1089\/pop.2009.0056","relation":{},"ISSN":["1942-7891","1942-7905"],"issn-type":[{"value":"1942-7891","type":"print"},{"value":"1942-7905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8]]}}}