Höglinger, Marc; Wirth, Brigitte; Carlander, Maria; Caviglia, Cornelia; Frei, Christian; Rhomberg, Birgitta; Rohrbasser, Adrian; Trottmann, Maria; Eichler, Klaus (2023). 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. European journal of health economics, 24(3), pp. 469-478. Springer 10.1007/s10198-022-01486-2
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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.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Rohrbasser, Adrian |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1618-7598 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Doris Kopp Heim |
Date Deposited: |
21 Jun 2022 19:55 |
Last Modified: |
06 Apr 2023 08:46 |
Publisher DOI: |
10.1007/s10198-022-01486-2 |
PubMed ID: |
35716315 |
Uncontrolled Keywords: |
Diabetes Disease management Primary care Program evaluation Quality of care Structured treatment program |
BORIS DOI: |
10.48350/170762 |
URI: |
https://boris.unibe.ch/id/eprint/170762 |
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