The Implications of Healthcare Utilization of Diabetes Disease Management

Abstract

Faced with rising healthcare costs and limited resources, healthcare costs need to be contained. Consistent with its extraordinary effect on the health of Americans, the costs of diabetes to the U.S. healthcare system are enormous. Total estimated cost of diabetes in 2007 was $174 billion, including $116 billion in excess medical expenditures and $58 billion in reduced national productivity. Medical costs attributed to diabetes include $27 billion for care to directly treat diabetes, $58 billion to treat the portion of diabetes-related chronic complications that are attributed to diabetes, and $31 billion in excess general medical costs. The purpose of this study is to determine whether sustained hemoglobin HbA1c testing among patients is followed by reductions in healthcare utilization. The intent of which is to answer the following research question. "Is there a utilization difference in Outpatient visits using Disease Management to treat and manage patients with diabetes?" Standard regression was conducted to determine the accuracy of the independent (HbA1c Testing 2005, 2006 and 2007), predicting outpatient utilization of patients at Fort Knox MEDDAC that were diagnosed with Type 2 Diabetes. The final results of the linear regression indicate that the overall model significantly predicts of outpatient utilization, R2=.048, R2(adj)=.045, F= 19.047, P<.000. This study demonstrates that aggressive management of a patient with type 2 diabetes can lead to reduced utilization rates over a three year time period.

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Document Details

Document Type
Technical Report
Publication Date
Jun 24, 2008
Accession Number
ADA493521

Entities

People

  • Jonathan R. Webb

Tags

DTIC Thesaurus Topics

  • Air Force
  • Business Administration
  • Delivery Of Health Care
  • Department Of Defense
  • Diseases And Disorders
  • Health Care
  • Health Services
  • Hospitals
  • Medical Personnel
  • Military Medicine
  • Myocardial Ischemia
  • Pain
  • Standards
  • Therapy
  • Type 2 Diabetes
  • United States

Fields of Study

  • Medicine
  • Political science

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Industrial Economics
  • Medical or Health Care Field.