The Diabetes Management Education Program in South Texas: An Economic and Clinical Impact Analysis
نویسندگان
چکیده
Introduction Diabetes is a major chronic disease that can lead to serious health problems and high healthcare costs without appropriate disease management and treatment. In the United States, the number of people diagnosed with diabetes and the cost for diabetes treatment has dramatically increased over time. To improve patients' self-management skills and clinical outcomes, diabetes management education (DME) programs have been developed and operated in various regions. Objective This community case study explores and calculates the economic and clinical impacts of expanding a model DME program into 26 counties located in South Texas. Methods The study sample includes 355 patients with type 2 diabetes and a follow-up hemoglobin A1c level measurement among 1,275 individuals who participated in the DME program between September 2012 and August 2013. We used the Gilmer's cost differentials model and the United Kingdom Prospective Diabetes Study (UKPDS) Risk Engine methodology to predict 3-year healthcare cost savings and 10-year clinical benefits of implementing a DME program in the selected 26 Texas counties. Results Changes in estimated 3-year cost and the estimated treatment effect were based on baseline hemoglobin A1c level. An average 3-year reduction in medical treatment costs per program participant was $2,033 (in 2016 dollars). The total healthcare cost savings for the 26 targeted counties increases as the program participation rate increases. The total projected cost saving ranges from $12 million with 5% participation rate to $185 million with 75% participation rate. A 10-year outlook on additional clinical benefits associated with the implementation and expansion of the DME program at 60% participation is estimated to result in approximately 4,838 avoided coronary heart disease cases and another 392 cases of avoided strokes. Conclusion The implementation of this model DME program in the selected 26 counties would contribute to substantial healthcare cost savings and clinical benefits. Organizations that provide DME services may benefit from reduction in medical treatment costs and improvement in clinical outcomes for populations with diabetes.
منابع مشابه
An empowerment-based diabetes self-management education program for Hispanic/Latinos: a quasi-experimental pilot study.
PURPOSE The purpose of this pilot study was to evaluate the effects of a culturally sensitive, empowerment-based diabetes self-management education program for Spanish-speaking Hispanic/Latinos. METHODS A prospective quasi-experimental repeated measures design tested the effectiveness of the ¡Si, Yo Puedo Controlar Mi Diabetes! diabetes self-management education program. In sum, 144 persons r...
متن کاملThe Effect of Nutritional Education Program Based on Health Belief Model (HBM) on the Knowledge of Fasting Type 2 Diabetic Patients
Background and Objectives: Studies have shown that many people with diabetes are fasting in the holy month of Ramadan. Ramadan fasting causes several changes in metabolism, habit and lifestyle that are associated with an increased risk of hypoglycemia and hyperglycemia in diabetic patients. An educational program based on behavioral science theory in the field of diet and medication changes, pr...
متن کاملAn Investigation into Employee Job Satisfaction and Its Impact on Organizational Effectiveness with Special Reference to the Buffalo City College
This study was aimed at investigating the impact of employee job satisfaction on organizational effectiveness at the Buffalo City College in East London, South Africa. Job satisfaction is critical in ensuring the continued growth and effectiveness of any organization. This study assessed the levels of job satisfaction among academic lecturers at Buffalo City College. A quantitative research app...
متن کاملChallenges of Physicians’ Training Program on Diabetes Prevention and Control
Introduction: Diabetes Prevention and Control has become among the nation's health system priorities in recent decade. Meanwhile, educational programs for executives have been designed and implemented. Tha aim of this study was to describe the situation of training of general practitioners who care diabetiv patients under National Diabetes Prevention and Control Program. Methods: This study is...
متن کاملStatus of Psychological Adjustment and Associated Factors in Patients with Type 2 Diabetes in Zanjan University of Medical Sciences - 2019
Background: Diabetes is one of the major health issues worldwide and a challenge for health care providers. Objectives: The aim of this study was to determine the status of psychological adjustment and associated factors in patients with type 2 diabetes in Zanjan University of Medical Sciences. Methods: This descriptive cross-sectional study was carried out on 350 patients with type 2 diabete...
متن کامل