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Diabetes disease management results in Hispanic Medicaid patients.
J Health Care Poor Underserved. 2009 May; 20(2):432-43.JH

Abstract

OBJECTIVES

To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico.

STUDY DESIGN

A 12-month, matched-cohort study.

STUDY POPULATION

Four hundred and ninety (490) intervention group members matched to 490 controls.

INTERVENTION

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.

RESULTS

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.

CONCLUSIONS

The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.

Authors+Show Affiliations

Research & Outcomes at McKesson Health Solutions, 335 Interlocken Parkway, Broomfield, CO 80021, USA. greg.berg@mckesson.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19395840

Citation

Berg, Gregory D., and Sandeep Wadhwa. "Diabetes Disease Management Results in Hispanic Medicaid Patients." Journal of Health Care for the Poor and Underserved, vol. 20, no. 2, 2009, pp. 432-43.
Berg GD, Wadhwa S. Diabetes disease management results in Hispanic Medicaid patients. J Health Care Poor Underserved. 2009;20(2):432-43.
Berg, G. D., & Wadhwa, S. (2009). Diabetes disease management results in Hispanic Medicaid patients. Journal of Health Care for the Poor and Underserved, 20(2), 432-43. https://doi.org/10.1353/hpu.0.0131
Berg GD, Wadhwa S. Diabetes Disease Management Results in Hispanic Medicaid Patients. J Health Care Poor Underserved. 2009;20(2):432-43. PubMed PMID: 19395840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diabetes disease management results in Hispanic Medicaid patients. AU - Berg,Gregory D, AU - Wadhwa,Sandeep, PY - 2009/4/28/entrez PY - 2009/4/28/pubmed PY - 2009/7/1/medline SP - 432 EP - 43 JF - Journal of health care for the poor and underserved JO - J Health Care Poor Underserved VL - 20 IS - 2 N2 - OBJECTIVES: To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN: A 12-month, matched-cohort study. STUDY POPULATION: Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION: 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. RESULTS: 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. CONCLUSIONS: The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population. SN - 1049-2089 UR - https://www.unboundmedicine.com/medline/citation/19395840/Diabetes_disease_management_results_in_Hispanic_Medicaid_patients_ L2 - http://muse.jhu.edu/cgi-bin/resolve_openurl.cgi?issn=1049-2089&volume=20&issue=2&spage=432&aulast=Berg DB - PRIME DP - Unbound Medicine ER -