Abstract/Details

Effect of a diabetes management program on processes of care performed and cost


2011 2011

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Abstract (summary)

The aim of the study presented here is to determine if the rate of performing the recommended processes of care differed between members enrolled in the BlueCross BlueShield of Rhode Island (BCBSRI) Diabetes Incentive Program and a comparison group of BCBSRI members having diabetes that were not enrolled in this program. We will also determine whether the care management program affected the average per member cost for medical claims, prescription drug claims, and total claims. Research was performed using a retrospective cohort study design of members with diabetes enrolled in a health care plan. Bivariate analysis measured the degree of association of intervention status with the outcome of all processes of care performed. A multivariable logistic model evaluated intervention impact through a manual backward stepwise process. Also, a univariate model with adjustment through propensity scores was used to evaluate group status impact. A Wilcoxon rank-sum test was used to evaluate differences between the median intervention and non-intervention cost values. Odds ratios for rates of performing the recommended care processes among the intervention group as compared with the non-intervention group were 1.052 (95% CI 0.894 – 1.238) for the bivariate model; 1.060 (95% CI 0.898 – 1.251) for the fitted multiple logistic model; and 1.094 (95% CI 1.033 – 1.158) for the model adjusted using propensity scores. The intervention group did have lower medical care cost and total cost than the non-intervention group but the differences between the groups in regards to medical and total cost were not statistically significant.

Indexing (details)


Subject
Economics;
Pharmacy sciences;
Epidemiology
Classification
0501: Economics
0572: Pharmacy sciences
0766: Epidemiology
Identifier / keyword
Health and environmental sciences; Social sciences; Care; Cost; Diabetes; Management; Processes; Program
Title
Effect of a diabetes management program on processes of care performed and cost
Author
Johnson, Scott
Number of pages
47
Publication year
2011
Degree date
2011
School code
0186
Source
MAI 49/05M, Masters Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9781124578019
Advisor
Kogut, Stephen J.
Committee member
Baglama, James; Marcoux, Rita M.; Quilliam, Brian J.
University/institution
University of Rhode Island
Department
Pharmaceutical Sciences
University location
United States -- Rhode Island
Degree
M.S.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
1490925
ProQuest document ID
863840839
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/863840839
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