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Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
What is the cost of quality for diabetes care?
Jean M Abraham1, Daniel J Crespin2, Jeffrey S McCullough2
1University of Minnesota, Minneapolis, MN, USA abrah042@umn.edu.
Abstract:
Increasing the quality of care and reducing cost growth are core objectives of numerous private- and public-sector performance improvement initiatives. Using a unique panel data set for a commercially insured population and multivariate regression analysis, this study examines the relationship between medical care spending and diabetes-related quality measures, including provider-initiated processes of care and patient-dependent quality activities. Empirical evidence generated from this analysis of the relationship between a comprehensive set of diabetes quality measures and diabetes-related spending does not lend support for the assumption that high-quality preventive and primary care combined with effective patient self-management can lead to lower costs in the near term. Finally, we find no relationship between adjusted spending and intermediate clinical outcomes (e.g., HbA1c level) measured at the clinic level.
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