Adherence to medical follow‐up recommendations reduces hospital admissions: Evidence from diabetic patients in France
| Autor: | Thomas Rapp, Nicolas Sirven, Christine Sevilla-Dedieu, Clémence Bussière |
|---|---|
| Přispěvatelé: | Laboratoire d'Economie de Dijon [Dijon] (LEDi), Université de Bourgogne (UB)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Groupe de Recherche en Economie Théorique et Appliquée (GREThA), Université de Bordeaux (UB)-Centre National de la Recherche Scientifique (CNRS), Laboratoire d'analyse et de recherche en économie et finance internationales (Larefi), Université de Bordeaux (UB), Centre National de la Recherche Scientifique (CNRS)-Université de Bordeaux (UB) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Logistic regression 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Diabetes Mellitus medicine Humans In patient 030212 general & internal medicine Health policy Hospital use Diabetic patients Hospital admissions Inpatient care business.industry 030503 health policy & services Health Policy Public health medicine.disease [SHS.ECO]Humanities and Social Sciences/Economics and Finance Hospitals 3. Good health Hospitalization Emergency medicine [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie France 0305 other medical science business Follow-Up Studies Panel data |
| Zdroj: | Health Economics Health Economics, Wiley, 2020, 29 (4), pp.508-522. ⟨10.1002/hec.3999⟩ |
| ISSN: | 1057-9230 1099-1050 |
| DOI: | 10.1002/hec.3999⟩ |
| Popis: | International audience; The aim of this study was to document the extent to which diabetic patients who adhered to required medical follow‐ups in France experienced reduced hospital admissions over time. The main assumption was that enhanced monitoring and follow‐up of diabetic patients in the primary care setting could be a substitute for hospital use. Using longitudinal claim data of diabetic patients between 2010 and 2015 from MGEN, a leading mutuelle insurance company in France, we estimated a dynamic logit model with lagged measures of the quality of adherence to eight medical follow‐up recommendations. This model allowed us to disentangle follow‐up care in hospitals from other forms of inpatient care that could occur simultaneously. We found that a higher adherence to medical guidance is associated with a lower probability of hospitalization and that the take‐up of each of the eight recommendations may help reduce the rates of hospital admission. The reasons for the variation in patient adherence and implications for health policy are discussed. |
| Databáze: | OpenAIRE |
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