Impact of a diabetes disease management program on guideline-adherent care, hospitalizations and health care costs : a propensity score matching study using real-world data

Autor: Carlander, Maria, Wirth, Brigitte, Trottmann, Maria, Caviglia, Cornelia, Frei, Christian, Rhomberg, Birgitta, Rohrbasser, Adrian, Eichler, Klaus, Höglinger, Marc
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Popis: Objective: To evaluate the impact of a disease management program (DMP) for patients with diabetes mellitus in a Swiss primary care setting. Methods: In a prospective observational study, we compared diabetes patients in a DMP (intervention group; N=515) with diabetes patients receiving usual care (control group; N=4820) using propensity score matching with entropy balancing. Using a difference-in-difference (DiD) approach we compared changes in outcomes from baseline (2017) to one-year (2017/18), to two-year (2017/19) and to three-year follow-up. Outcomes included four measures for guideline-adherent diabetes care, hospitalization risk, and health care costs. Results: We identified a positive impact of the DMP on the share of patients fulfilling all measures for guideline-adherent care [DiD 2017/18: 7.1%-points, p
Databáze: OpenAIRE