Approaches to chronic disease management evaluation in use in Europe

A review of current methods and performance measures

A. Conklin, E. Nolte, H.J.M. Vrijhoef

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objectives:
An overview was produced of approaches currently used to evaluate chronic disease management in selected European countries. The study aims to describe the methods and metrics used in Europe as a first to help advance the methodological basis for their assessment.
Methods:
A common template for collection of evaluation methods and performance measures was sent to key informants in twelve European countries; responses were summarized in tables based on template evaluation categories. Extracted data were descriptively analyzed.
Results:
Approaches to the evaluation of chronic disease management vary widely in objectives, designs, metrics, observation period, and data collection methods. Half of the reported studies used noncontrolled designs. The majority measure clinical process measures, patient behavior and satisfaction, cost and utilization; several also used a range of structural indicators. Effects are usually observed over 1 or 3 years on patient populations with a single, commonly prevalent, chronic disease.
Conclusions:
There is wide variation within and between European countries on approaches to evaluating chronic disease management in their objectives, designs, indicators, target audiences, and actors involved. This study is the first extensive, international overview of the area reported in the literature.
Original languageEnglish
Pages (from-to)61-70
JournalInternational Journal of Technology Assessment in Health Care
Volume29
Issue number1
DOIs
Publication statusPublished - 2013

Fingerprint

Disease Management
Process Assessment (Health Care)
Observation

Cite this

@article{9829a2787b3448f3b3b1959e371e7af3,
title = "Approaches to chronic disease management evaluation in use in Europe: A review of current methods and performance measures",
abstract = "Objectives: An overview was produced of approaches currently used to evaluate chronic disease management in selected European countries. The study aims to describe the methods and metrics used in Europe as a first to help advance the methodological basis for their assessment.Methods: A common template for collection of evaluation methods and performance measures was sent to key informants in twelve European countries; responses were summarized in tables based on template evaluation categories. Extracted data were descriptively analyzed.Results: Approaches to the evaluation of chronic disease management vary widely in objectives, designs, metrics, observation period, and data collection methods. Half of the reported studies used noncontrolled designs. The majority measure clinical process measures, patient behavior and satisfaction, cost and utilization; several also used a range of structural indicators. Effects are usually observed over 1 or 3 years on patient populations with a single, commonly prevalent, chronic disease.Conclusions: There is wide variation within and between European countries on approaches to evaluating chronic disease management in their objectives, designs, indicators, target audiences, and actors involved. This study is the first extensive, international overview of the area reported in the literature.",
author = "A. Conklin and E. Nolte and H.J.M. Vrijhoef",
year = "2013",
doi = "10.1017/s0266462312000700",
language = "English",
volume = "29",
pages = "61--70",
journal = "International Journal of Technology Assessment in Health Care",
issn = "0266-4623",
publisher = "Cambridge University Press",
number = "1",

}

Approaches to chronic disease management evaluation in use in Europe : A review of current methods and performance measures. / Conklin, A.; Nolte, E.; Vrijhoef, H.J.M.

In: International Journal of Technology Assessment in Health Care, Vol. 29, No. 1, 2013, p. 61-70.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Approaches to chronic disease management evaluation in use in Europe

T2 - A review of current methods and performance measures

AU - Conklin, A.

AU - Nolte, E.

AU - Vrijhoef, H.J.M.

PY - 2013

Y1 - 2013

N2 - Objectives: An overview was produced of approaches currently used to evaluate chronic disease management in selected European countries. The study aims to describe the methods and metrics used in Europe as a first to help advance the methodological basis for their assessment.Methods: A common template for collection of evaluation methods and performance measures was sent to key informants in twelve European countries; responses were summarized in tables based on template evaluation categories. Extracted data were descriptively analyzed.Results: Approaches to the evaluation of chronic disease management vary widely in objectives, designs, metrics, observation period, and data collection methods. Half of the reported studies used noncontrolled designs. The majority measure clinical process measures, patient behavior and satisfaction, cost and utilization; several also used a range of structural indicators. Effects are usually observed over 1 or 3 years on patient populations with a single, commonly prevalent, chronic disease.Conclusions: There is wide variation within and between European countries on approaches to evaluating chronic disease management in their objectives, designs, indicators, target audiences, and actors involved. This study is the first extensive, international overview of the area reported in the literature.

AB - Objectives: An overview was produced of approaches currently used to evaluate chronic disease management in selected European countries. The study aims to describe the methods and metrics used in Europe as a first to help advance the methodological basis for their assessment.Methods: A common template for collection of evaluation methods and performance measures was sent to key informants in twelve European countries; responses were summarized in tables based on template evaluation categories. Extracted data were descriptively analyzed.Results: Approaches to the evaluation of chronic disease management vary widely in objectives, designs, metrics, observation period, and data collection methods. Half of the reported studies used noncontrolled designs. The majority measure clinical process measures, patient behavior and satisfaction, cost and utilization; several also used a range of structural indicators. Effects are usually observed over 1 or 3 years on patient populations with a single, commonly prevalent, chronic disease.Conclusions: There is wide variation within and between European countries on approaches to evaluating chronic disease management in their objectives, designs, indicators, target audiences, and actors involved. This study is the first extensive, international overview of the area reported in the literature.

U2 - 10.1017/s0266462312000700

DO - 10.1017/s0266462312000700

M3 - Article

VL - 29

SP - 61

EP - 70

JO - International Journal of Technology Assessment in Health Care

JF - International Journal of Technology Assessment in Health Care

SN - 0266-4623

IS - 1

ER -