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|Publication type:||Article in scientific journal|
|Type of review:||Peer review (publication)|
|Title:||Impact of a diabetes disease management program on guideline-adherent care, hospitalization risk and health care costs : a propensity score matching study using real-world data|
|Published in:||The European Journal of Health Economics|
|Publisher / Ed. Institution:||Springer|
|Subjects:||Diabetes; Disease management; Primary care; Program evaluation; Quality of care; Structured treatment program|
|Subject (DDC):||362.1041: Health economics |
616: Internal medicine and diseases
|Abstract:||Objective: To evaluate the impact of a DMP for patients with diabetes mellitus in a Swiss primary care setting. Methods: In a prospective observational study, we compared diabetes patients in a DMP (intervention group; N?=?538) with diabetes patients receiving usual care (control group; N?=?5050) using propensity score matching with entropy balancing. Using a difference-in-difference (DiD) approach, we compared changes in outcomes from baseline (2017) to 1-year (2017/18) and to 2-year follow-up (2017/19). Outcomes included four measures for guideline-adherent diabetes care, hospitalization risk, and health care costs. Results: We identified a positive impact of the DMP on the share of patients fulfilling all measures for guideline-adherent care [DiD 2017/18: 7.2 percentage-points, p?<?0.01; 2017/19: 8.4 percentage-points, p?<?0.001]. The hospitalization risk was lower in the intervention group in both years, but only statistically significant in the 1-year follow-up [DiD 2017/18: – 5.7 percentage-points, p?<?0.05; 2017/19: – 3.9 percentage points, n.s.]. The increase in health care costs was smaller in the intervention than in the control group [DiD 2017/18: CHF – 852; 2017/19: CHF – 909], but this effect was not statistically significant. Conclusion: The DMP under evaluation seems to exert a positive impact on the quality of diabetes care, reflected in the increase in the measures for guideline-adherent care and in a reduction of the hospitalization risk in the intervention group. It also might reduce health care costs, but only a longer follow-up will show whether the observed effect persists over time.|
|Fulltext version:||Published version|
|License (according to publishing contract):||CC BY 4.0: Attribution 4.0 International|
|Departement:||School of Management and Law|
|Organisational Unit:||Winterthur Institute of Health Economics (WIG)|
|Appears in collections:||Publikationen School of Management and Law|
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Höglinger, M., Wirth, B., Carlander, M., Caviglia, C., Frei, C., Rhomberg, B., Rohrbasser, A., Trottmann, M., & Eichler, K. (2022). Impact of a diabetes disease management program on guideline-adherent care, hospitalization risk and health care costs : a propensity score matching study using real-world data. The European Journal of Health Economics, 24(3), 469–478. https://doi.org/10.1007/s10198-022-01486-2
Höglinger, M. et al. (2022) ‘Impact of a diabetes disease management program on guideline-adherent care, hospitalization risk and health care costs : a propensity score matching study using real-world data’, The European Journal of Health Economics, 24(3), pp. 469–478. Available at: https://doi.org/10.1007/s10198-022-01486-2.
M. Höglinger et al., “Impact of a diabetes disease management program on guideline-adherent care, hospitalization risk and health care costs : a propensity score matching study using real-world data,” The European Journal of Health Economics, vol. 24, no. 3, pp. 469–478, Jun. 2022, doi: 10.1007/s10198-022-01486-2.
Höglinger, Marc, et al. “Impact of a Diabetes Disease Management Program on Guideline-Adherent Care, Hospitalization Risk and Health Care Costs : A Propensity Score Matching Study Using Real-World Data.” The European Journal of Health Economics, vol. 24, no. 3, June 2022, pp. 469–78, https://doi.org/10.1007/s10198-022-01486-2.
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