A disease management programme for patients with diabetes mellitus is associated with improved quality of care within existing budgets

Lotte Maria Gertruda Steuten, H.J.M. Vrijhoef, S. Landewe-Cleuren, N. Schaper, G.G. van Merode, C. Spreeuwenberg

Research output: Contribution to journalArticleAcademic

20 Citations (Scopus)

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 languageUndefined
Pages (from-to)1112-1120
JournalDiabetic medicine
Volume24
Issue number10
DOIs
Publication statusPublished - 2007

Keywords

  • IR-78177
  • Diabetes mellitus
  • Cost utility
  • Disease management

Cite this