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

Marc Höglinger (), Brigitte Wirth, Maria Carlander, Cornelia Caviglia, Christian Frei, Birgitta Rhomberg, Adrian Rohrbasser, Maria Trottmann and Klaus Eichler
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Marc Höglinger: Zurich University of Applied Sciences
Brigitte Wirth: Zurich University of Applied Sciences
Maria Carlander: Zurich University of Applied Sciences
Cornelia Caviglia: Medbase Health Care Provider
Christian Frei: Swica Health Insurance
Birgitta Rhomberg: Swica Health Insurance
Adrian Rohrbasser: Medbase Health Care Provider
Maria Trottmann: Swica Health Insurance
Klaus Eichler: Zurich University of Applied Sciences

The European Journal of Health Economics, 2023, vol. 24, issue 3, No 12, 469-478

Abstract: Abstract Objective To evaluate the impact of a 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 = 538) with diabetes patients receiving usual care (control group; N = 5050) using propensity score matching with entropy balancing. Using a difference-in-difference (DiD) approach, we compared changes in outcomes from baseline (2017) to 1-year (2017/18) and to 2-year follow-up (2017/19). 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: 7.2 percentage-points, p

Keywords: Disease management; Diabetes; Structured treatment program; Primary care; Quality of care; Program evaluation (search for similar items in EconPapers)
JEL-codes: I10 I18 (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s10198-022-01486-2

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