Use and Effect on Patients of Disease Management in Rural Areas
Although rural populations are at high risk for chronic disease, Disease Management (DM)
programs currently tend to target the insured and are found in larger population
concentrations served by managed care plans. In addition, DM programs that serve rural
populations may encounter a variety of factors that inhibit full participation of rural patients in
DM programs or result in differential treatment. Building on findings from the Chronic Disease
Management Project, this project focuses on whether there are observable differences in the
impact of disease management (DM) programs between rural and urban populations.
Specifically, the study will compare rural and urban patients on several dimensions of utilization
of DM programs conducted by two or three rural-urban integrated delivery systems.
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