Implementation of the Chronic Disease Care System and its association with health care costs and continuity of care in Korean adults with type 2 diabetes mellitus

Autor: Eun Cheol Park, Woorim Kim, Sang Ah Lee, Yoon Soo Choy
Rok vydání: 2018
Předmět:
Zdroj: BMC Health Services Research, Vol 18, Iss 1, Pp 1-7 (2018)
BMC Health Services Research
ISSN: 1472-6963
DOI: 10.1186/s12913-018-3806-2
Popis: Background The Chronic Disease Care System (CDCS) has been implemented in Korea to encourage treatment continuity in chronic disease patients. This study investigated the effect of the introduction of the CDCS on health care costs and continuity of care in individuals with type 2 diabetes mellitus (T2DM). Methods The National Health Insurance data from August, 2010 to March, 2012 (pre-policy) and from May, 2012 to December, 2013 (post-policy) were used. Introduction of the CDCS was defined as the intervention. The intervention group consisted of T2DM patients participating in the program and the control group patients not participating in the program. The Difference-in-Differences (DID) method was used to estimate the differences in total health care costs for outpatient services and continuity of care between the intervention and the control group before and after the intervention period. Results Implementation of the CDCS was associated with decreased health care costs (β = − 46,877 Korean Won, P
Databáze: OpenAIRE