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 |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Treatment continuity medicine.medical_specialty National Health Programs Chronic disease care system 030209 endocrinology & metabolism Health informatics Chronic disease Health administration Young Adult 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Republic of Korea Health care Ambulatory Care medicine Humans 030212 general & internal medicine Primary health care business.industry lcsh:Public aspects of medicine Health Policy Nursing research Public health Type 2 Diabetes Mellitus lcsh:RA1-1270 Continuity of Patient Care Middle Aged Long-Term Care Diabetes Mellitus Type 2 Family medicine Continuity of care Female Health care costs business Research Article |
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 |
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