Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Diabetes disease management in a community-based setting.

Gregory D Berg¹, Sandeep Wadhwa

¹McKesson Corp., 335 Interlocken Parkway, Broomfield, CO 80021, USA. Greg.Berg@McKesson.com

Managed Care (Langhorne, Pa.)

|July 9, 2002

Summary

This diabetes disease management program improved patient behaviors and reduced medical service utilization. The intervention resulted in a significant return on investment and a net decrease in direct medical costs.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Complications of Ambulatory Procedures: Prevalence and Hospital Outpatient Department Variation.

American journal of medical quality : the official journal of the American College of Medical Quality·2025

Same author

Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes.

BMC public health·2021

Same author

Participation and weight loss in online National Diabetes Prevention Programs: a comparison of age and gender subgroups.

Translational behavioral medicine·2020

Same author

Development and validation of 15-month mortality prediction models: a retrospective observational comparison of machine-learning techniques in a national sample of Medicare recipients.

BMJ open·2019

Same author

Clinical metric and medication persistency effects: evidence from a Medicaid care management program.

Population health management·2014

Same author

Dose-response effects for depression and Schizophrenia management on hospital utilization in Illinois Medicaid: a multivariate regression analysis.

BMC health services research·2014

Area of Science:

Health Services Research
Chronic Disease Management
Behavioral Medicine

Background:

The medical cost of diabetes in the US was substantial in 1997.
Diabetes self-management programs aim to improve patient outcomes and reduce healthcare utilization.

Purpose of the Study:

To evaluate the impact of a community-based diabetes disease management program on behavioral changes and medical care utilization.
To assess the return on investment of the diabetes management program.

Main Methods:

A historical control comparison was conducted with 127 diabetes patients followed for 1 year.
Behavioral changes were assessed at baseline and 6 months; medical service utilization was compared pre- and post-enrollment.
Poisson multivariate regression models were used to analyze utilization data, controlling for confounders.

Main Results:

Patient behaviors improved, with a 44.9% increase in hemoglobin A1c testing and a 53.2% decrease in hyperglycemia symptoms.
Medical service utilization decreased across all dimensions, including a 391 per 1,000 reduction in inpatient admissions.
A 4.34:1 return on investment was calculated, indicating significant cost savings.

Conclusions:

The diabetes management program effectively promotes positive behavioral changes and self-management skills.
The program is associated with a substantial reduction in medical service utilization and direct medical costs.
Implementation of such programs offers a favorable return on investment.

Related Experiment Videos