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Related Experiment Videos

Comparison Between Individually and Group-Based Insulin Pump Initiation by Time-Driven Activity-Based Costing.

Martin Ridderstråle1

  • 11 Department of Clinical Sciences, Lund University, Malmö, Sweden.

Journal of Diabetes Science and Technology
|April 4, 2017
PubMed
Summary
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Initiating insulin pump therapy in groups is significantly more time and cost-effective than individual treatment. Time-driven activity-based costing (TDABC) analysis revealed group therapy offers substantial resource savings for diabetes management.

Area of Science:

  • Endocrinology
  • Health Economics
  • Medical Education

Background:

  • Insulin pump therapy initiation can be adapted to individual or group settings.
  • Resource availability, expertise, and teaching preferences influence the chosen model.
  • This study compares the resource utilization of group versus individual insulin pump initiation.

Purpose of the Study:

  • To compare the resource efficiency of group versus individual insulin pump initiation.
  • To evaluate the cost-effectiveness of different insulin pump therapy initiation models.
  • To demonstrate the utility of Time-Driven Activity-Based Costing (TDABC) in healthcare decision-making.

Main Methods:

  • Time-Driven Activity-Based Costing (TDABC) was employed for comparative analysis.
Keywords:
diabetesgroup treatmentinsulin pump treatmenttime-driven activity-based costing

Related Experiment Videos

  • Activities and cost drivers for group (GT) and individual (IT) treatment initiation were identified and timed.
  • Medical quality and patient satisfaction were presumed equivalent and not measured.

    • Main Results:

    • Group initiation (GT) was approximately 30% less time-consuming and 17% less costly per patient than individual initiation (IT).
    • GT demonstrated cost-neutrality at 5 out of 16 attendees, with potential for additional groups at no extra cost.
    • The batch nature of GT resulted in a distinct cost accumulation pattern compared to IT.

    Conclusions:

    • TDABC is an effective tool for comparing treatment modalities, enhancing cost control, and informing decisions.
    • Group initiation of insulin pump therapy is substantially more cost-effective than individual initiation when feasible.
    • The findings support the use of TDABC to identify optimal resource allocation and cost-efficiency in diabetes care.