Diabetes disease management results in Hispanic Medicaid patients.J Health Care Poor Underserved. 2009 May; 20(2):432-43.JH
To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico.
A 12-month, matched-cohort study.
Four hundred and ninety (490) intervention group members matched to 490 controls.
Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan.
MAIN OUTCOME MEASURES
Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact.
The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1.
The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.