Abstract
Aim To assess the impact of a disease management programme for patients with diabetes mellitus (Type 1 and Type 2) on cost-effectiveness, quality of life and patient self-management. By organizing care in accordance with the principles of disease management, it is aimed to increase quality of care within existing budgets.
Methods Single-group, pre-post design with 2-year follow-up in 473 patients.
Results Substantial significant improvements in glycaemic control, health-related quality of life (HRQL) and patient self-management were found. No significant changes were detected in total costs of care. The probability that the disease management programme is cost-effective compared with usual care amounts to 74%, expressed in an average saving of 117 per additional life year at 5% improved HRQL.
Conclusion Introduction of a disease management programme for patients with diabetes is associated with improved intermediate outcomes within existing budgets. Further research should focus on long-term cost-effectiveness, including diabetic complications and mortality, in a controlled setting or by using decision-analytic modelling techniques
Original language | Undefined |
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Pages (from-to) | 1112-1120 |
Journal | Diabetic medicine |
Volume | 24 |
Issue number | 10 |
DOIs | |
Publication status | Published - 2007 |
Keywords
- IR-78177
- Diabetes mellitus
- Cost utility
- Disease management