Behavior-Based Diabetes Management: Impact on Care, Hospitalizations, and Costs.
OBJECTIVES: To (1) examine the impact of the Diabetes Care Rewards (DCR) program on adherence to care standards and (2) evaluate the economic impact of adherence to care standards. STUDY DESIGN: A retrospective observational cohort study design with propensity matching. Additional covariates adjustm...
| Publicado en: | American Journal of Managed Care Vol. 27; no. 3; pp. 96 - 113 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MJH Life Sciences
Mar2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149315997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149315997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10880224 5QN jtl: American Journal of Managed Care issn: 10880224 maglogo: N pubinfo: dt: Mar2021 vid: 27 iid: 3 pid: 54670 pub: MJH Life Sciences place: Cranbury, New Jersey artinfo: ui: 149315997 149315997 149315997 10.37765/ajmc.2021.88597 149315997 ppf: 96 ppct: 17 formats: tig: atl: Behavior-Based Diabetes Management: Impact on Care, Hospitalizations, and Costs. aug: au: Ahern, David K. Aberger, Edward W. Wroblewski, Joseph P. Qinhe Zheng Mehta, Sanjeev N. Buchanan, Ashley L. Shah, Kanya K. Rocchio, Robert J. Follick, Michael J. affil: Abacus Health Solutions, Cranston, RI sug: subj: Diabetes Mellitus Therapy Guideline Adherence Behavioral Changes Patient Care Standards Hospitalization Health Care Costs Managed Care Programs Retrospective Design Nonexperimental Studies Prospective Studies United States Glycated Hemoglobin Creatinine Urine Albumins Urine Secondary Analysis Structured Interview Logistic Regression Poisson Distribution Data Analysis Software Descriptive Statistics Male Female Adult Middle Age Confidence Intervals Odds Ratio Human Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: OBJECTIVES: To (1) examine the impact of the Diabetes Care Rewards (DCR) program on adherence to care standards and (2) evaluate the economic impact of adherence to care standards. STUDY DESIGN: A retrospective observational cohort study design with propensity matching. Additional covariates adjustment was used to minimize residual imbalance. METHODS: Utilization and cost data were compared between individuals enrolled vs individuals eligible for but not enrolled in the DCR program using a standard mean difference. Individuals were employees or their dependents from self-insured companies throughout the United States. Outcomes included adherence to the care standards, service utilization, and costs. RESULTS: A total of 3318 propensity-matched participants were included. Primary analysis revealed that enrolled members increased adherence to semiannual glycated hemoglobin, annual lipid, and annual urine albumincreatinine ratio testing. Additionally, enrolled members experienced less utilization of high-acuity services and increased rates of physician visits. In a secondary analysis, the enrolled group was associated with greater pharmaceutical costs but lower medical costs. CONCLUSIONS: A behavioral science-- and incentive-based diabetes management program was associated with greater rates of adherence to recommended diabetes monitoring care standards, increased routine clinic visits, decreased hospital admissions, and decreased inpatient days. Anticipated increases in pharmaceutical expenditures were offset by overall lower medical expenditures. Results indicate the economic benefits of adherence to evidencebased standards for diabetes care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|